Antepartum

Question 1

Signs of pregnancy a women notices? subjective

Answer 1

Amenorrhea, NV, breast changes, fatigue, urination frequency, quickening/fetal movement

Question 2

Signs of pregnancy ? Objective

Answer 2

Positive HCG, reproductive changes, integument changes, Braxton Hicks

Question 3

Why are pregnant women at risk for developing gestational diabetes?

Answer 3

Increased insulin resistance in the 2nd and 3rd trimester

Question 4

Fetal risks due to diabetic mother

Answer 4

Hyperglycemia* may delay pulmonary maturity
Congenital malformations 2-3x(ex. heart, nervous & msk, sacral agenesis)
Miscarriage
Stillborn 5x
IUGR-intrauterine growth retardation

Question 5

Neonatal risk due to diabetic mother

Answer 5

Macrosomia
-LGA 4500g-Large for gestational age
-Shoulder dystocia
Hypoglycemia*
Respiratory Distress 5x
Polycythemia
Hyperbilirubinemia
Neonatal Death