Shaina Marie B.
Millan
BSN 205-Group 17
CUES NURSING ANALYSIS GOALS AND NURSING RATIONALE EVALUATION
DIAGNOSIS OBJECTIVES INTERVENTIONS
Subjective Cues: GOAL: Independent:
Unstable Gestational The prevention of
1. Was the
“ Nadiagnose blood glucose Diabetes Mellitus the occurrence of 1. Assess past
1. Assessment
(GDM) is defined type 2 diabetes after client able to
ako ng related to health history and
findings indicate need
as “diabetes giving birth by perceive her
Gestational insulin obtain complete
for protective
diagnosed in the maintaining lower current health
Diabetes deficiency, past laboratory
measures.
second or third blood glucose level. status by
nung 7 stress results.
trimester of comprehending
months na
pregnancy that
OBJECTIVES: Canadian Centre for to her past
akong
was not clearly After nursing Occupational Health health history?
buntis” As
overt diabetesinterventions, the and Safety (2017).
verbalized by
prior to gestation”.patient will be able Risk Assessment. _Met
the patient. GDM is one of the to: Retrieved from _Partially met
most frequent https://www.ccohs.ca/ _Unmet
Objective cues: metabolic diseases 1. Perceive her oshanswers/hsprogra
during pregnancy current health ms/risk_assessment.ht 2. Was the
Blood and approximately status. ml client able to
Glucose affects 7% (range: maintain in
level as of 2–18%) of all 2. Maintain in 2. Assess and
acquiring
February 28, pregnancies. This acquiring normal monitor vital signs 2. Vital signs give you
a baseline when a normal vital
2020 at 11 in clinical condition vital signs. of the client.
patient is healthy to signs?
the morning potentially affects
not only negative 3. Understand the compare to the
is at 107 _Met
medical outcomes condition of her patient’s condition
mg/dL _Partially met
but also the
blood glucose level. when they aren’t
* Patient is at _Unmet
mental health healthy. It determines
diet as which treatment
moderated status with
4. Recognize her
additional adverse condition and be protocols to follow, 3. Was the
because of provide critical client able to
consequences on knowledgeable
her glucose information needed to understand the
psychological about possible
level make life-saving condition of her
well-being andcomplications that
quality of life. may occur after 10 decisions, and blood glucose
minutes of health confirm feedback on level by
teaching. treatments performed. discussing her
Gestational laboratory
diabetes mellitus 5. Adapt diet Meridian College.
(GDM) is a changes to facilitate (2018).The results?
serious pregnancy the regulation of Importance of Taking
complication, in her glucose levels Vital Signs: A _Met
which women after 10 minutes of Medical Assisting _Partially met
without previously health teaching. Guide. Retrieved from _Unmet
diagnosed https://www.meridian.
diabetes develop 6. Verbalize the edu/importance- 4. Was the
chronic importance of taking-vital-signs- client able to
hyperglycemia exercising in medical-assisting- recognize her
during gestation. lowering serum 3. Monitor the guide/ condition and
In most cases, this glucose levels and
laboratory test be
hyperglycemia is therefore, insulin 3. A blood glucose
results focusing on knowledgeable
the result of after 10 minutes of test measures the
the blood glucose glucose levels in your about possible
impaired glucose health teaching.
tolerance due to level of the client. blood. Too much or complications
pancreatic β-cell 7. Demonstrate her too little glucose in that may occur
dysfunction on a understanding of the blood can be a after 10 minutes
background of the importance of sign of a serious of health
chronic insulin breastfeeding by medical condition. teaching?
resistance. Risk breastfeeding when The blood glucose test _Met
factors for GDM infant is hungry. is used to find out if _Partially met
include your blood sugar _Unmet
overweight and 8. Be given levels are within
obesity, advanced medications normal or healthy 5. Was the
maternal age, and necessary to range. It is often used client able to
a family history or maintain a stable to help diagnose and adapt diet
any form of glucose level. monitor diabetes. changes to
diabetes. facilitate the
Consequences of MedlinePlus. (n.d.). regulation of
GDM include Blood Glucose Test: her glucose
increased risk of Lab Test Information. levels after 10
maternal Retrieved from minutes of
cardiovascular https://medlineplus.go health teaching?
disease and type 2 v/lab-tests/blood-
diabetes and glucose-test/ _Met
macrosomia and _Partially met
birth _Unmet
4. Educate the 4. Women with
complications in
patient about her diabetes need to be 6. Was the
the infant. There is
also a longer-term condition and the aware of how much client able to
risk of obesity, possible carbohydrate they eat verbalize the
type 2 diabetes, complications that daily by estimating importance of
and cardiovascular may occur after the total carbohydrate exercising in
disease in the giving birth. each anticipated meal lowering serum
child. will contain and then glucose levels
administer a number and therefore,
Plows, J., Stanley, of units of insulin insulin after 10
J., & Vickers, M. prior to that based on minutes of
(2018).The predetermined health teaching?
Pathophysiology
insulin-to
of Gestational _Met
carbohydrate ratio.
Diabetes Mellitus. _Partially met
Retrieved from Silbert-Flagg, J. A., & _Unmet
https://www.ncbi. Pillitteri, A. (2018).
nlm.nih.gov/pmc/a 7. Was the
Maternal & Child
rticles/PMC62746 client able to
Health Nursing: Care demonstrate her
79/ of the Childbearing & understanding
Childrearing Family of the
(8th ed.) P.515. importance of
Philadelphia: Wolters breastfeeding
Kluwer by
5. Health teaching
about proper diet breastfeeding
5. With exercise,
of patients with when infant is
blood glucose levels
hungry?
gestational diabetes decrease because the
_Met
mellitus and the muscles increase in _Partially met
importance of their need for glucose, _Unmet
following diet. an effect which lasts
at least 12 hours after
exercise 8. Was the
client able to
Silbert-Flagg, J. A., take
& Pillitteri, A. (2018). medications
Maternal & Child necessary to
Health Nursing: Care maintain a
of the Childbearing & stable glucose
Childrearing Family level?
(8th ed.) P.517. _Met
Philadelphia: Wolters _Partially met
6. Health teaching Kluwer. _Unmet
about the
6. Women with
importance of
diabetes may
exercise and the
breastfeed because
kinds of exercises
one of the few
to participate in to
substances that does
alleviate symptoms
not pass into breast
of an unstable
milk from the blood
glucose.
stream.
Silbert-Flagg, J. A., &
Pillitteri, A. (2018).
Maternal & Child
Health Nursing: Care
of the Childbearing &
Childrearing Family
(8th ed.) P.519.
Philadelphia: Wolters
7. Health teaching Kluwer.
about
breastfeeding, 7. Some women with
techniques, and its GDM will have
importance for her persisting
infant and hyperglycemia in the
condition. days after delivery
that will justify
medical management
for diabetes and
perhaps for
hypertension,
microalbuminuria,
and dyslipidemia
Kitzmiller, J. L.,
Dang-Kilduff, L., &
Taslimi, M. M.
(2007). Gestational
Diabetes After
Delivery: Short-term
Dependent management and
long-term risks.
8. Administer anti- Diabetes Care,
diabetic 30(Supplement 2).
medications as
8. Anti-diabetic drugs
prescribed.
are medicines
developed to stabilize
and control blood
glucose levels
amongst people with
diabetes.
Diabetic.co.uk.
(2019). Anti-Diabetic
Drugs. Retrieved from
https://www.diabetes.
co.uk/diabetes-
medication/antidiabeti
c-drugs.html
