Charlotte, age 30, is pregnant for the third time. Her first pregnancy, at age 27, resulted...
Charlotte, 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.
- Charlotte is Native American, weighs 185 pounds and is 5’ 3”. She has glucosuria.
- Charlotte has a family history of a first degree relative with diabetes.
a. What kind of complications does the neonatal nurse taking care of Charlotte’s baby need to monitor for?
b. What would the nurse do to prevent or treat these neonatal complications
Homework Answers
a. As the baby of Charlotte has macrosomia, there are chances that the complication of gestational diabetes mellitus will occur in the child.
The neonatal nurse must monitor for hypoglycemia which is a common metabolic disorder that can occur in the neonate.
The nurse should also monitor for hypocalcemia.
Hyperbilirubinemia is more frequently observed in infants born to diabetic mothers.
b. the nurse can prevent complications in the neonate by continuous monitoring. Finding the symptoms at the earliest. baby may need oxygen or a breathing machine to breathe better
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