Question

1.What are the priorities of care for a diabetic pregnancy?

2. Compare and Contrast the signs and symptoms of placenta previa and placenta abruption?.

3. What are the main differences between a threatened spontaneous loss and an inevitable spontaneous loss?

Answer 1

1)*effects of diabetes on pregnancy and vice versa

*Nutritional requirements (regular intake at prescribed times,prescribed diet,weight gain)

*Signs and symptoms of hypoglycemia

*Home blood glucose monitoring

*Antepartum evaluation procedures

*Exercise during pregnancy

*Signs of developing infection

*Signs and symptoms of diabetic ketoacidosis

*Testing for ketones in urine

2)signs and symptoms of placenta previa and abruptio placenta

placenta previa:-

Painless bleeding appearing at the end of the second trimester or in the third trimester,minimal to severe

Usually bright red

Uterus soft, normal tone

Observer blood loss comparable to signs of shick

abruptio placenta:-

Bleeding may or may not be external

Often dark brown

Uterus rigid and tender,tetanic, persistent uterine contractions

Shock out of proportion to blood loss

3) threatened abortion:- vaginal bleeding or spotting occurring in early pregnancy that may or may not be associated with mild carmps,closed cervix,the process may be abate or result in abortion.

inevitable abortion:-

the above process has progressed such that termination of the pregnancy cannot be prevented ,bleeding is moderate to copious,uterine cramping is moderate to severe,the membrans may or may not have ruptured ,the cervical canal is dilating