NUR 238 - Exam 2 Study Guide Flashcards
What are the risk factors for gestational diabetes?
- Macrosomia
- Over 35 y/o
- Pregnancy weight around 20%
What diagnostic test do you perform for gestational diabetes?
1 hour test.
What is the general layout for a 1 hour gestational diabetes test?
- Ingest 50g oral glucose
- 1 hour later blood is drawn
What are the abnormal values for a 1 hour gestational diabetes test?
140 or greater.
If the 1 hour test is abnormal, what do you do next?
Perform a 3 hour test.
What is the general layout for a 3 hour gestational diabetes test?
- Overnight fast
- 100g oral glucose
- Blood drawn at 1,2,3 hour marks
For a 3 hour test, what are the glucose values that are considered abnormal at each benchmark?
- Fasting: 105mg/dL or >
- 1 Hour: 190mg/dL or>
- 2 Hour: 165mg/dL or >
- 3 Hour: 145mg/dL
How many values must be elevated for a 3 hour gestational diabetes test to be deemed abnormal?
2.
If only 1 value is elevated in the 3 hour gestational diabetes test, what happens next?
Repeat the 3 hour gestational diabetes test after 1 month.
Mild Preeclampsia SBAR
- 140/90mmHg or greater after 20 weeks
- Sudden weight gain of 4-5 lbs/week
- Dependent edema, putty eyes, face, and fingers
- Proteinuria of 300mg/L (trace +1)
- Urine 30mL/hr
Severe Preeclampsia SBAR
- 160/110mmHg on 2 occasions at least 6 hours apart while bedrest
- Generalized edema, crackles may be present
- Proteinuria 2gm/L (trace +2 or >)
- Urine <30mL/hr
- Severe headache, blurred vision, photophobia
Lab values for Preeclampsia.
- Increased creatinine
- Thrombocytopenia (Under 100,000)
- Increased AST
Nursing Management for Preeclampsia
- Bedrest
- Seizure precautions
- Quiet environment
Drug Therapy for Preeclampsia
- Magnesium sulfate
- Calcium gluconate
- Antihypertensives (hydralyzine, labetolol, methyldopa)
When does eclampsia occur?
When seizure activity develops.
