NUR 359 Lecture Notes - Lecture 21: Diabetes Mellitus Type 1, Gestational Diabetes, Gestational Hypertension
Document Summary
Can occur because the woman has a medical condition or injury that complicates the pregnancy. Can result from environmental hazards that affect the mother or her fetus. Can arise from maternal behaviors or lifestyles that have a negative effect on the mother or fetus. Physiological disorder of the pancreas resulting in insulin deficiency. Preterm labor and premature rupture of the membranes. If woman cannot increase her insulin production, then she will have periods of hyperglycemia. Because fetus is continuously drawing glucose from the mother, she will also experience hypoglycemia between meals and during the night. During 2nd and 3rd trimester, fetus is at risk for organ damage from hyperglycemia because fetal tissue has increased tissue resistance to maternal insulin action. Care during labor of the woman with gdm. Assess blood glucose levels hourly and adjust insulin administration accordingly. Care of the neonate of a woman with gdm. Blood glucose monitored closely for at least the first 24 hours after birth.
