Gestational Diabetes Flashcards
(15 cards)
Gestational Diabetes what causes it
Hormonal changes during pregnancy that affect insulin
Gestational Diabetes what are the risk factors
Maternal age over 25
obese
multiple pregnant
Gestational Diabetes when does it happen
second to third trimester
Gestational Diabetes does it go away
Yes after delivery
Gestational Diabetes Clinical symptoms
Increased hunger and thirst
frequent urination
recurrent infections
dry mouth
usually no signs
Gestational Diabetes exercise
Recommended to maintain healthy weight and blood glucose level
Gestational Diabetes treatment
Mom - daily blood sugar tests, diet, medication
Fetus - non stress test may be ordered
Gestational Diabetes medications
Insulin
Metformin
glyburide
what is macrosomia
Big buddha baby
Nursing consideration for macrosomia
Increase risk for injuries during birth - shoulder dystocia, bone fractures and brachial plexus injury
High risk for macrosomia
Hypoglycemia, jaundice, respiratory distress
What are the clinical signs of hypoglycemia in newborn
Jitter
apnea
cyanosis
tachypnea
Treatment hypoglycemia in newborn
Oral milk feedings
Buccal dextrose gel
IV dextrose severe cases
When do we test for Gestational Diabetes
24 to 28 weeks
What level glucose in newborns requires treatment
50 or less during the first 24 hours,
60 or less after two days
or symptomatic
