maternal insulin Answer - does not cross the placenta
baby creates its own
insulin resistance in late pregnancy makes what for the baby? Answer - more
glucose available
what are the effects of pregnancy on the metabolism in weeks 1-20 Answer -
increased lvl of estrogen and progesterone stimulate increased insulin
production by the maternal pancrease
- increased tissue response to insulin
- greater demand and utilization of glucose during 1st trimester by mom and
fetus
- N/V can put mom at risk for hypoglycemia
effects on pregnancy of the metabolism on late pregnancy weeks 20-40 Answer
- HPL secrete and increased estrogen and progesterone cause increased
resistance to insulin and maternal cells
- insulin requirements increase 2-3x during second half of pregnancy
- may leave mom hyperglycemic
if unable to produce insulin risk for gestational diabetes
postpartum effects of metabolism Answer - abrupt cessation of placental
hormones, insulin demand declines rapidly
, what is the glucose challenge test Answer - All women screened
24-28 weeks gestation
Woman does not need to fast
Drinks 50 g or oral glucose solution
1 hr later, blood is taken
If BS *>140*, a 3 hr oral glucose tolerance test is ordered
what is a 3hr GTT Answer - the patient must fast for 8 hours a fasting sugar will
be obtained then you'll drink about 8 ounces of a glucose solution containing
100 grams of sugar, the blood glucose levels will be tested at one, two and
three hours after you consume liquid
one hour after drinking the glucose solution normal bg levels Answer - lower
than 180
two hours after drinking the glucose solution, a normal BG levels are Answer -
lower than 155
three hours after drinking the glucose solution a normal BG levels are Answer -
lower than 140
if one of the results in the 3hr blood glucose test than Answer - you'll like test
again in one month if two or more are higher than normal you will be
diagnosed with gestational diabetes
nursing care for gestational diabetes Answer -
what is the overall recommended weight gain in pregnancy Answer - 25-35
pounds
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