![]() ![]() The client will participate in the management of diabetes during pregnancy.The client will understand the importance of careful attention to nutrition, exercise, and home monitoring of glucose levels during pregnancy.The client will verbalize understanding of the procedures, laboratory tests, and activities involved in controlling diabetes.The fetus will have a normal blood glucose level upon birth.The fetus will display weight within the normal range.The fetus will be delivered full-term and vaginally without complications.The fetus will display reactive normal stress tests and negative OCT and CST.The client will deliver the infant vaginally and without complications.The client will maintain blood glucose levels within the normal range.The client will maintain vital signs within the normal range.The client will be free of signs and symptoms of diabetic ketoacidosis (fruity-scented breath, excessive thirst, frequent urination, weakness, and confusion).The client identifies the proper food and fluid choices for her diet.The client is free from signs of hypoglycemia or hyperglycemia.The client follows the prescribed dietary intake appropriately.The client will gain at least 25-30 lbs prenatally or as appropriate for pre-pregnancy weight.Within 8 hours of nursing action, the patient will maintain fasting serum blood glucose levels between 60-100 mg/dl and 1-hour postprandial of no higher than 140 mg/dl and will be free of signs and symptoms of diabetic ketoacidosis (fruity-scented breath, excessive thirst, frequent urination, weakness, confusion).Within 4 hours of nursing intervention, the patient will verbalize understanding of the individual treatment regimen and the need for regular glucose self-monitoring.It is ultimately the nurse’s clinical expertise and judgment that shape the care plan to meet the unique needs of each patient, prioritizing their health concerns and priorities. In real-life clinical settings, it is important to note that the use of specific nursing diagnostic labels may not be as prominent or commonly utilized as other components of the care plan. While nursing diagnoses serve as a framework for organizing care, their usefulness may vary in different clinical situations. See nursing assessment cues under Nursing Interventions and Actions.įollowing a thorough assessment, a nursing diagnosis is formulated to specifically address the challenges associated with gestational diabetes mellitus (GDM) based on the nurse’s clinical judgment and understanding of the patient’s unique health condition.Schedule regular prenatal visits to monitor maternal and fetal health.Īssess for the following subjective and objective data:.Educate patients on the potential risks of GDM to both the mother and baby. ![]()
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