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Sally, age 30, is pregnant for the third time. Her first pregnancy, at age 27, resulted...

Sally, 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.

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

Sally has a family history of a first degree relative with diabetes.

a. What are the risk factors for gestational diabetes?

b. Which risk factors does Sally display that might lead the nurse to Sally has a risk for gestational diabetes?

c. Why is gestational diabetes diagnosed at 24-28 weeks of gestation?

d. What is a glucose challenge test (GCT)?

e. What would you teach a client about this test?

f. What is an oral glucose tolerance test (OGTT)?

g. What would you teach a client about this test?

e. List two reasons it is important to identify women with gestational diabetes.

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