maternal and newborn

Question 1

Gestational Diabetes

Answer 1

GDM screening: Screen for GDM between 24-28 weeks gestation using a non-fasting 1-hour
oral glucose challenge test (GCT). If 1-hour GCT is positive, a fasting 2-hour CGT is performed.

Question 2

Gestational Diabetes

Answer 2

Lifestyle changes: Teach clients with GDM to manage blood glucose with diet and exercise.
Divide daily calorie needs between 3 meals and 2-3 snacks.

Question 3

Gestational Diabetes

Answer 3

Risk for preeclampsia and PPH: Clients with
GDM are at increased risk for preeclampsia and
PPH. Monitor the client for uterine atony and
teach client to report signs of preeclampsia such
as BP ≥140/90, headaches, and visual changes.

Question 4

Gestational Diabetes

Answer 4

Newborn hypoglycemia symptoms: If a newborn
has signs of hypoglycemia, such as persistent
jitters or hypothermia, assess blood glucose by
warming the heel to promote blood flow, then
collect a blood sample from the lateral heel.

Question 5

Gestational Diabetes

Answer 5

Newborn hypoglycemia treatment: If the
newborn is hypoglycemic and alert, give oral
feedings. If hypoglycemia persists, give IV
glucose.