Question

Olivia, age 30, is pregnant for the third time. Her first pregnancy, at age 27, resulted in a miscarriage at 10 weeks. Her second pregnancy, Jayson, weighed 12 pounds at birth. During that pregnancy she had an abnormal glucose tolerance test and was diagnosed with GDM.

- Olivia is Native American, weighs 185 pounds and is 5’ 3”. She has glucosuria.

- Olivia has a family history of a first degree relative with diabetes.

a. What complications would the nurse monitor for post-delivery on Olivia?

b. Describe the pathophysiology behind these complications.

c. What nursing interventions could assist in preventing or recognizing these complications early?

d. What kind of complications does the neonatal nurse taking care of Olivia’s baby need to monitor for?

e. What would the nurse do to prevent or treat these neonatal complications?

Answer 1

A. Post delivery most common complication is Post partum heamorrage in gestational diabetes patient

2nd most common complication is infection and sepsis due to high glucose in blood

B- due to large placenta and macrosomia of baby decrease tone of uterus , so atonic uterus cause Post partum heamorrage

C- give antibiotic for pervent sepsis

Active management of 3rd stage of labour, give oxytocin to patient