NUR 148 Chp 29
- type 1 and type 2 DM in obstetrics are referred to as
Answer pregestational diabetes
- pregestational diabetes
Answer diabetes that existed prior to woman becoming pregnant
- pregestational diabetes has a outcomes likely if woman maintains...
Answer -
good; good glucose control prior to and during pregnancy
- fetus is more likely to have structural anomalies or die in utero if...
Answer diabetes is uncontrolled
- poor glycemic control at time of conception inc risk for
Answer miscarriage and lethal fetal anomalies
- poor glycemic control later in pregnancy inc rates of...
Answer fetal macrosomia (birth wt > 4500 g) which inc incidence of shoulder dystocia, c-section, operative delivery (vacuum, forceps)
- 1st trimester normal metabolic changes in pregnancy
Answer 1 / 2
-inc insulin production
-fasting BG levels fall by 10% -inc risk for hypoglycemia for pregestational diabetic women
- 2nd and 3rd trimester metabolic changes
Answer -inc insulin resistance
-dec glucose tolerance -maternal insulin requirements gradually inc beginning at 18-24 wks until abt 36 wks
- pregnancy normally exerts on maternal metabolic status
Answer diabetogenic effect
- women w either type 1 or type 2 DM diagnosed before pregnancy may or may not be...
Answer complicated by vascular disease, retinopathy, nephropathy, others
- type 2 diabetics may achieve good control w metformin or glyburide how- ever...
Answer pt usually insulin-dependent during pregnancy
- women encouraged to delay pregnancy until HgbA1C is..
Answer < 10%
- pregestational DM inc maternal risk for...
Answer -polyhydramnios
-infxn - yeast, UTI -preeclampsia, eclampsia
- / 2