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Amelia Sung- Shoulder Dystocia

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CONCEPT MAP WORKSHEET DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS) “Gestational diabetes mellitus (GDM) is an impaired tolerance to glucose with the first onset or recognition during pregnancy. The ideal blood glucose level during pregnancy should range ...

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  • April 13, 2022
  • 11
  • 2021/2022
  • Other
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lOMoARcPSD|3013804




Amelia Sung Shoulder Dystocia

Adult Nursing II (Florida SouthWestern State
College)

, lOMoARcPSD|3013804




CONCEPT MAP WORKSHEET
DESCRIBE DISEASE PROCESS AFFECTING PATIENT (INCLUDE PATHOPHYSIOLOGY OF DISEASE PROCESS)

“Gestational diabetes mellitus (GDM) is an impaired tolerance to glucose with the first onset or recognition during
pregnancy. The ideal blood glucose level during pregnancy should range between 60 to 99 mg/dL before meals or
fasting, and less than or equal to 120 mg/Dl.2 hr. after meals. Findings of diabetes mellitus can disappear a few weeks
following delivery. However, approximately 50% of clients will develop type 2 diabetes mellitus later in life.”
(Holman et al., 2019)



DIAGNOSTIC TESTS PATIENT INFORMATION EXPECTED PHYSICAL FINDINGS
(REASON & RESULTS)

None of the following test were Amelia Sung, Female ● “Hypoglycemia: nervousness, headache,
observed in the vsims - no Adm DX: labor induction due to weakness, irritability, hunger, blurred
results were given. gestational diabetes vision.”
DOB: 7/11/1984 (36y) ● “Hyperglycemia: polydipsia, polyuria,
● Glucose screening Height: 157 cm nausea, abdominal pain, flushed dry skin,
test/1-hr glucose Weight: 83 kg fruity breath.”
tolerance test: 50g oral Allergies: Shellfish ● Shaking
glucose load, followed Adm on: 8/15/2020 ● Rapid pulse
by plasma glucose ● Clammy pale skin
analysis 1 hr later ● Excess weight gain during pregnancy
performed at 24 to 48 (Holman et al., 2019)
weeks of gestation;
fasting not necessary; a
positive blood glucose
screening is 130-140
mg/dL or greater;
additional testing with a
3-hr oral glucose
tolerance test (OGTT) is
indicated.”
● Presence of ketones in
urine
(Holman et al., 2019)


ANTICIPATED NURSING INTERVENTIONS

● Monitor clients blood glucose
● Monitor vital signs
● Monitor the fetus
● Educate patient about lifestyle changes following delivery.
● Vaginal examination
● Provide emotional support for the patient.
● Assess urine for the presence of ketones
(Holman et al., 2019)

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