Question | Answer |
Women with GDM check blood glucose - When? | Fasting and i to 2 hours after a meal - 4x's a day |
Women with DM not related to pregnancy check Blood glucose levels __daily | 5-7x's |
HbAic is ____________in blood | glycohemoglobin |
Common insulin analog __________is taken prior to meals | Lispro |
Common side effect of maternal diabetes is neonatal | hypoglycemia |
A preg woman who wants to exercise should do so after_____when BG is high, wear an _____ and carry ______ _____ for a rapid source of energy | after, medical ID, hard candy |
True or false: oral hypoglycemic should be used to manage DM in pregnancy | False. They cross the placenta |
During the first trimester, the need for insulin | frequently decreases. |
Insulin requirements begin to rise | in the second trimester as glucose use and glucose storage by the woman and fetus increase. |
Insulin requirements may double or quadruple by | the end of pregnancy as a result of placental maturation and hPL production. |
The infant of a diabetic mother is at risk for | congenital anomalies, respiratory distress, and macrosomia. |
Frequently maternal insulin requirements .... during labor. Consequently maternal glucose levels are measured ...to determine insulin need. | decrease dramatically, hourly |
Often two IV lines are used, | one with a 5% dextrose solution and one with a saline solution. The saline solution is then available for piggybacking insulin or if a bolus is needed. |
A client with Type I diabetes is admitted to the labor and birthing unit. What nursing actions should take priority in the intrapartal management of the patient with diabetes? | Maintaining two patent IV lines Hourly monitoring of blood sugar level |