Exam 29: Endocrine and Metabolic Disorders

In terms of the incidence and classification of diabetes,which information should the nurse keep in mind when evaluating clients during their ongoing prenatal appointments?

An 18-year-old client who has reached 16 weeks of gestation was recently diagnosed with pregestational diabetes.She attends her centering appointment accompanied by one of her girlfriends.This young woman appears more concerned about how her pregnancy will affect her social life than her recent diagnosis of diabetes.A number of nursing diagnoses are applicable to assist in planning adequate care.What is the most appropriate diagnosis at this time?

Achieving and maintaining euglycemia are the primary goals of medical therapy for the pregnant woman with diabetes.These goals are achieved through a combination of diet,insulin,exercise,and blood glucose monitoring.The target blood glucose levels 1 hour after a meal should be _____________.

During a prenatal visit,the nurse is explaining dietary management to a woman with pregestational diabetes.Which statement by the client reassures the nurse that teaching has been effective?

Preconception counseling is critical in the safe management of diabetic pregnancies.Which complication is commonly associated with poor glycemic control before and during early pregnancy?

Which major neonatal complication is carefully monitored after the birth of the infant of a diabetic mother?

The nurse is preparing to teach an antepartum client with GDM the correct method of administering an intermediate-acting insulin, such as neutral protamine Hagedorn (NPH), with a short-acting insulin (regular). In the correct order from 1 through 6, match the step number with the action needed to teach the client self-administration of this combination of insulin. -Step 1