Chapter 3: Susan Rockwell (Gestational diabetes, DVT, PE) Flashcards
DMPA frequency
every 10-16 weeks
What is DMPA?
progestin only birth control that is given IM or SQ
DMPA care considerations
- can take up to 18 months for fertility to return
- need pregnancy test if late on injections (16 weeks or more)
- menstrual changes
DMPA risks
syncope
anaphylaxis
make sure not preg
What is WIC?
federal program
provides food and nutrition education + resources for low income individuals with nutritional risks
indications for pre-existing type 2 diabetes early screening in early pregnancy? (4)
- BMI >= 30 (obese)
- previous pregnancy with gestational diabetes
- impaired glucose metabolism
- PCOS
obesity risks in pregnancy maternal (5)
- gestational DM
- gestational HTN
- preeclampsia
- c-section
- wound complications
obesity risks in pregnancy fetal (6)
- neural tube defects
- prematurity
- stillbirth
- congenital abnormalities
- macrosomia
- low birth weight
caloric intake recommendations for diabetes in preg?
- BMI 18.5-30: 30 kcal
- BMI > 30: 22-25 kcal
- morbid obesity: 12-14 kcal
nutrient distribution recomendations for diabetes in preg?
- 40% calories from carbs
- 40% from fat
- 20% from protein
calorie timing recommendations for diabetes in preg?
- breakfast: 10% of calories
- lunch/dinner/snacks: 30% of calories
What are the blood glucose target levels in pregnancy in home glucose monitoring? (3)
- fasting and before lunch + dinner: <90 mg/dL
- one hr after first bath: <120 mg/dL
metformin causes what side effects?
- stomach problems
- lactic acidosis (resp distress, somolence, abd pain)
reactive fetal nonstress test
2
- 26-32 weeks: minimum 2 accelerations, 10 bpm lasting over 10s over 20 min
- 33 weeks+: minimum 2 accelerations, 15 bpm lasting over 15s over 20 min
nonreactive fetal stress test
- less than 2 accelerations
- less than 10 or 15 bpm
- lasting less than 10-15s over 20 min
- means lack of fetal reactivity
