Nursing Actions Flashcards
GDM mgmt
Diet and walk after meal
Metformin 500 mg daily
SQ insulin if more severe
NPH (long)
Humalog (short)
Glargine (lantis)
Fetal monitoring and delivery mgmt for DM in pregnancy
Fetal monitor starting at 28-32 w
US for growth at 36 w
Deliver at 38-39 w if macro, poor G control, or IUGR
Referrals, multidisciplinary, and special F/Us for pre-gestational DM
Perinatologist (OBGYN)
Endocrinologist
Ophthalmologist
Nutritionist
A1C each trimester
Fetal echo
Level 2 US
Baseline kidney, LFT, 24 hour urine
Usual prenatal labs with thyroid panel
Medication adjustments
Mgmt active labor with DM
Hourly BG
Insulin drip
Nursing for HTN in hospital (prevent eclampsia)
Quiet
Call light
Seizure precautions
Stay with patient during seizure
Physical assessment for edema and reflexes
Labs
Tx and mgmt for hyperemesis
IV
Vitamin B6
Zofran
Progress diet as tolerated
Acupressure
High protein at bedtime
Sweet and salty
Fresh air
No tooth brush post meal
Ginger
Herbal tea
Dairy
Popsicle
Mgmt ectopic
Methotrexate if < 3.5 cm
Surgery with birth control for 3 cycles to allow healing
Mgmt and dx for molar
12 month birth control
Suction curettage
Monthly measurements for 6 months
FU for 1 year
Dx via transvaginal US and HCG
Mgmt for trauma in pregnancy
At least 4 hours monitoring FHR and contractions
US
Labs
Rhogam
Prevention measures for PTL
Health promotion/Disease prevention
Tx infections
Prenatal care
HYDRATION
PTL mgmt in hospital
Delay 48 to 72 hours
Administer steroid to mature baby lungs
PTL mgmt at home (overall prevention)
Bed rest
Activity restrictions
Monitor uterine activity
Manage stress
Utilize social support
Interventions for mg sulfate adverse effects
Ice
Cool rags
Cool room
Zofran
Assess LOC, resp, reflexes
Assess for oliguria
Have calcium gluconate handy
Daily folic acid for…
Neural tube health
Things for preeclampsia mom to do at home
Daily weights
BP BID
Call if burning pee
BID dipstick for protein
Record daily fetal kicks
