Antepartum complications

Question 1

When do we starts screening for gestational diabetes

Answer 1

24-28 weeks

Question 2

Ideal fasting blood glucose range for pregnancy

Answer 2

70-110 fasting powerpoint

◦ 60-99 fasting for ATI

Question 3

Ideal Blood glucose 2 hours after meal (ATI)

Answer 3

< or = 120 2 hours after meal

Question 4

How much glucose do we administer for initial glucose tolerance test?

Answer 4

50g oral

Question 5

How quickly do we recheck CBG after administering glucose for initial glucose tolerance test

Answer 5

1 hour

Question 6

CBG > ____ = positive initial glucose tolerance test

Answer 6

130

Question 7

what happens if you are positive after initial glucose test?

Answer 7

do a 3 hours glucose test

Question 8

Steps for 3 hour glucose test? what steps does mom need to take to prepare for it?

Answer 8

◦ fasting beforehand, no caffeine/smoking

◦ give 100g of oral glucose and check CBG at 1, 2, and 3 hour

Question 9

Final diagnostic criteria for gestational diabetes?

Answer 9

CBG > 130 after 1 hour test

CBG still elevated after 3 hour test

Question 10

Interventions for gestational diabetes?

Answer 10

◦ Initially diet and exercise alone, carbs 50% of calories

◦ Insulin 
◦ Glyburide

Question 11

Fancy name for excessive nausea and vomiting during pregnancy

Answer 11

Hyperemesis Gravidarum

Question 12

How do we define hyperemesis gravidarum?

Answer 12

prolonged n/v past 16 weeks of gestation

Question 13

Risks/assessments with hyperemesis gravidarum

Answer 13

causing weight loss, dehydration, nutritional deficiencies, electrolyte imbalances
◦ increase pulse rate, decrease skin turgor

Question 14

interventions for Hyperemesis Gravidarum

Answer 14

• Maintain fluid status – lactated ringers IV , check I&O, vitamins and supplements with antiemetics (ondansetron, corticosteroids for severe)
• advance diet from clears, frequent small meals

Question 15

What firey infection are we concerned about pregnant people getting that can cross the placenta and cause birth defects?

Answer 15

TORCH

Question 16

When can we give a pregnant person a rubella vaccine?

Answer 16

After pregnancy

• do not get pregnant for 3 months after receiving rubella vaccine (ATI says 1 month)

Question 17

What is Group B Streptococcus (GBS)

Answer 17

Often with normal vaginal flora in non-pregnant clients / some pregnant clients
• Can cause complications if transmitted to neonate

Question 18

when do we test for GBS? how do we test for it?

Answer 18

• Vaginal and rectal culture at 35-38 weeks

Question 19

how do we treat GBS?

Answer 19

Antibiotics prophylactically – Penicillin G or Ampicillin IV (during labor- d/c ABX after baby is born)

Question 20

A nurse manager is reviewing ways to prevent a TORCH infection during pregnancy with a group of newly licensed nurses. Which of the following statements by a nurse indicates understanding of the teaching?

A. Obtain an immunization against rubella early in pregnancy.
B. Seek prophylactic treatment if cytomegalovirus is detected during pregnancy.
C. A client should avoid crowded places during pregnancy.
D. A client should avoid consuming undercooked meat while pregnant.

Answer 20

D. A client should avoid consuming undercooked meat while pregnant.