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    Unit 3 Tutorial Questions 1. Gestational Diabetes

    Uploaded by

    Melaia Vakayavudali
    Gestational diabetes is characterized by three signs: excessive thirst (polydipsia), excessive hunger (polyphagia), and frequent urination (polyuria). Babies of mothers with gestational diabetes are often large (macrosomic) due to high blood glucose levels crossing the placenta. Management of gestational diabetes involves close monitoring of the mother's blood glucose levels to reduce complications for both mother and fetus. Gestational hypertension exists only during pregnancy and involves high blood pressure, while severe hypertension is defined as systolic over 160 or diastolic over 110; both are managed through hospital admission, expedited birth, and corticosteroids to reduce risks. Other conditions in pregnancy like anemia and STIs also

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    Unit 3 Tutorial Questions 1. Gestational Diabetes

    Uploaded by

    Melaia Vakayavudali
    9 views2 pages
    Gestational diabetes is characterized by three signs: excessive thirst (polydipsia), excessive hunger (polyphagia), and frequent urination (polyuria). Babies of mothers with gestational diabetes are often large (macrosomic) due to high blood glucose levels crossing the placenta. Management of gestational diabetes involves close monitoring of the mother's blood glucose levels to reduce complications for both mother and fetus. Gestational hypertension exists only during pregnancy and involves high blood pressure, while severe hypertension is defined as systolic over 160 or diastolic over 110; both are managed through hospital admission, expedited birth, and corticosteroids to reduce risks. Other conditions in pregnancy like anemia and STIs also

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    Nk Unit 3 Turtorial

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    Gestational diabetes is characterized by three signs: excessive thirst (polydipsia), excessive hunger (polyphagia), and frequent urination (polyuria). Babies of mothers with gestational diabetes are often large (macrosomic) due to high blood glucose levels crossing the placenta. Management of gestational diabetes involves close monitoring of the mother's blood glucose levels to reduce complications for both mother and fetus. Gestational hypertension exists only during pregnancy and involves high blood pressure, while severe hypertension is defined as systolic over 160 or diastolic over 110; both are managed through hospital admission, expedited birth, and corticosteroids to reduce risks. Other conditions in pregnancy like anemia and STIs also

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    9 views2 pages

    Unit 3 Tutorial Questions 1. Gestational Diabetes

    Uploaded by

    Melaia Vakayavudali
    Gestational diabetes is characterized by three signs: excessive thirst (polydipsia), excessive hunger (polyphagia), and frequent urination (polyuria). Babies of mothers with gestational diabetes are often large (macrosomic) due to high blood glucose levels crossing the placenta. Management of gestational diabetes involves close monitoring of the mother's blood glucose levels to reduce complications for both mother and fetus. Gestational hypertension exists only during pregnancy and involves high blood pressure, while severe hypertension is defined as systolic over 160 or diastolic over 110; both are managed through hospital admission, expedited birth, and corticosteroids to reduce risks. Other conditions in pregnancy like anemia and STIs also

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    Unit 3 Tutorial questions

    1. Gestational diabetes
    a. Rationalize the three classic signs of gestational diabetes.
     Polydipsia (excessive thirst): it is caused by increase glucose level. When blood glucose
    level get high the kidney produce urine in an effort to remove extra glucose from the
    body. Meanwhile, because the body loos fluids we tend to drink in order to replace
    them. This lead to the feeling of intense thirst associated with diabetes.

     Polyphagia (excessive hunger): in people with diabetes glucose can’t enter the cell to be
    used for the energy. This is due to the low insulin level or insulin resistance. This is
    because the body can’t convert this glucose into energy you will begin to feel very
    hungry. Hunger associated with this does not go away unless we consume food.

     Polyuria (frequent urination): when the glucose level are too high, pur body will try to
    remove some of the excess glucose via urination. This lead to our kidney filtering out
    more water which lead to increase need to urinate.

    b. Rationalize macrosomic babies of gestational diabetic mothers.


    This is due to the high insulin resistance of the mother. A higher amount of blood glucose passes
    through the placenta into the fetal circulation. As a result, extra glucose in the fetus is stored as body fat
    causing macrosomia, which is also called 'large for gestational age'.

    c. Explain the management and the complication of diabetes on;


    maternal and foetus.
    Women with diabetes do not have the capacity to increase insulin secretion in response to the
    altered carbohydrate metabolism in pregnancy and therefore glucose accumulates in the
    maternal and fetal system leading to significant morbidity and mortality.

    Close monitoring of the mother blood glucose is done to reduce the risk of long-term
    complication. Blood glucose can also be estimated by testing urine for glucose using reagent
    straps, although this is less accurate than the blood test.
    2. Gestational hypertension/Pregnancy induced hypertension
    a. Describe the following types of hypertensions;
    severe hypertension and gestational hypertension.
    Gestational hypertension this is a form of high blood pressure in pregnancy and it exist only
    during pregnancy period. The blood pressure should return to normal value postnatally. Severe
    hypertension this can be described as when the systolic blood pressure level is 160mmHg or in
    other words higher and the diastolic pressure is 110mmHg or greater
    b. Discuss the management of pre-eclampsia
    Thorough investigations of underlying medical problems. Early recognition of pre-eclampsia
    help also in it’s early treatment. Hospital admission and referral and therefore treatment of
    hypertensions is done. Expedite the birth of baby and placenta. Induction of labor at different
    gestational age blood pressure level. Corticosteroids (side effects ) and liaison with neonatal
    intensive care and anesthetic team.

    c. Discuss the management of severe eclampsia


    Mother is put on rest as much as needed. Ensure that diet given to the mother are rich in
    protein, fiber and vitamins. Weight gain daily check up is done and also blood pressure is
    checked and urinalysis. Abdominal examination is done on daily basis. Foetal assessment 8s
    monitored through kick chart, CTG monitoring, ultrasound scan. Dappled flow studies to
    determine the placental blood flow.

    3.Cardiac diseases in Pregnancy


    a. Explain the functional classification of the cardiac diseases.
    b. Discuss the management of cardiac mothers under prenatal care, intrapartum care
    and postnatal care
    4. Other conditions – Anemia, STI, Renal, Epilepsy

    a. Explain the causes and management of Folic Acid anemia in pregnancy.


    b. Discuss the cause, sign and symptom and management of syphilis.
    c. Explain the effects renal disorders in pregnancy.
    d. Discuss the clinical management epilepsy in pregnancy.

    REFERENCE
    Medically reviewed by Marina Basina, M.D. — Written by Jill Seladi-Schulman, Ph.D. — Updated on
    June 18, 2020

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