Chapter 20: nursing management of the pregnancy at risk:

A pregnant woman determined to be at high risk for gestation diabetes is undergoing a 1 hours glucose challenge test. The nurse schedules the client for a 3-hours glucose tolerance test based on which result?

- 146 mg/dl rationale: any blood glucose level over 140 with a 1 hour glucose challenge test is considered abnormal and warrant follow up testing with a 3 hours glucose tolerance test.

A woman is determine to be at high risk for gestational diabetes. At which time would the nurse expect the client to undergo rescreening?

- 24-28 WEEKS RATIONALE: A woman identified as high risk would undergo rescreening

A pregnant woman with diabetes is having a glycosylated hemoglobin (HbA1C) level drawn. Which result would require the nurse to revise the clients plan of care?

- 8.5% -rationale: a HbA1C level of more than 8% indicates poor control and the need for intervention.

Pregnant woman with chronic HTN comes to the clinic for evaluation. The last several blood pressure readings were gradually increasing. On today's visit her BP is 166/100 mm hg. The health care provider prescribes an antihypertensive agent.

- Methyldopa is the most commonly prescribed agent

COMPLICATIONS ASSOCIATED WITH SMOKING DURING PREGNANCY?

- Spontaneous abortion -maternal HTN -Abruptio placenta

Sign and symptoms of sickle cell crisis:

- fever -joint pain severe abdominal pain, muscle spasm

Foods high in IRON:

-Peanut butter -Rasins - broccoli - whole grains, green leafy vegetables

A pregnant client, postive for hepatitis B virus, her infant should be vaccinated with an initial HBV vaccine dose at which time?

-Within 12 hours of birth the second dose will be given at 1 month and 3rd at 6 months

HbA1C levels

A glycosylated hemoglobin level of less than 7% indicates good control