In OB! need help with gest. diabetes case study

[rn_jenn]

A 30 yr. old pregnant client at 26 weeks gestation comes to the clinic for her prenatal visit. Her fasting blood glucose level at this time is 140mg/dL. . In reviewing her family history it is noted that her mother has Type 1 Diabetes Mellitus. A GTT is done which confirms a diagnosis of Gestational Diabetes. She asks "What does that mean? Will I have to take insulin? What's going to happen to my baby?" "What will I need to do

I am having difficulty coming up for diagnoses for this patient.

So far I have deficient knowledge

and anxiety but are these two priority or is there something before these?

[ACNP 2B S1S2RRR]

Hey, I've taken OB, and I am a student as well. I don't have my book in front of me to check this response, but my guess is:

Risk of Infection/Risk of injury r/t deficient knowledge about disease process and elevated blood sugar secondary to autoimmune disorder aeb fasting blood sugar 140, confirmed gestational diabetes, "I don't know what that means." I'm sure you can elaborate.

Also:

Imbalanced nutrition: more than body requirements

Ineffective Tissue perfusion

risk for fetal injury r/t elevated maternal glucose levels-remember, shoulder dystocia, macrosomia, preterm labor and

premature birth, RDS, tremors following delivery due to hypoglycemia, hyperbilirubinemia, polycythemia, etc

risk for imbalanced nutrition: less than body requirements r/t inability to ingest certain nutrients necessary for pregnancy

complicated by GDM

Hope this helps, but I may be wrong!

[Snwbdr]

what about the obvious Risk for unstable blood glucose