Antepartum complications Flashcards
When do we starts screening for gestational diabetes
24-28 weeks
Ideal fasting blood glucose range for pregnancy
70-110 fasting powerpoint
◦ 60-99 fasting for ATI
Ideal Blood glucose 2 hours after meal (ATI)
< or = 120 2 hours after meal
How much glucose do we administer for initial glucose tolerance test?
50g oral
How quickly do we recheck CBG after administering glucose for initial glucose tolerance test
1 hour
CBG > ____ = positive initial glucose tolerance test
130
what happens if you are positive after initial glucose test?
do a 3 hours glucose test
Steps for 3 hour glucose test? what steps does mom need to take to prepare for it?
◦ fasting beforehand, no caffeine/smoking
◦ give 100g of oral glucose and check CBG at 1, 2, and 3 hour
Final diagnostic criteria for gestational diabetes?
CBG > 130 after 1 hour test
CBG still elevated after 3 hour test
Interventions for gestational diabetes?
◦ Initially diet and exercise alone, carbs 50% of calories
◦ Insulin ◦ Glyburide
Fancy name for excessive nausea and vomiting during pregnancy
Hyperemesis Gravidarum
How do we define hyperemesis gravidarum?
prolonged n/v past 16 weeks of gestation
Risks/assessments with hyperemesis gravidarum
causing weight loss, dehydration, nutritional deficiencies, electrolyte imbalances
◦ increase pulse rate, decrease skin turgor
interventions for Hyperemesis Gravidarum
- 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
What firey infection are we concerned about pregnant people getting that can cross the placenta and cause birth defects?
TORCH
When can we give a pregnant person a rubella vaccine?
After pregnancy
- do not get pregnant for 3 months after receiving rubella vaccine (ATI says 1 month)
What is Group B Streptococcus (GBS)
Often with normal vaginal flora in non-pregnant clients / some pregnant clients
• Can cause complications if transmitted to neonate
when do we test for GBS? how do we test for it?
• Vaginal and rectal culture at 35-38 weeks
how do we treat GBS?
Antibiotics prophylactically – Penicillin G or Ampicillin IV (during labor- d/c ABX after baby is born)
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.
D. A client should avoid consuming undercooked meat while pregnant.
