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Gestational Diabetes Nutrition Plan

The nurse is creating an assessment and care plan for a client with gestational diabetes. The plan involves short term goals of assessing the client's dietary intake and adjusting their diet or insulin regimen to meet their needs. Long term goals include the client maintaining appropriate nutrition and monitoring their blood sugar levels. The rationale is to help evaluate the client's understanding and compliance with their diet, and to decrease risks to the fetus by keeping the client's blood sugar within recommended ranges.

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Mary Joan Faye Garrido
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118 views3 pages

Gestational Diabetes Nutrition Plan

The nurse is creating an assessment and care plan for a client with gestational diabetes. The plan involves short term goals of assessing the client's dietary intake and adjusting their diet or insulin regimen to meet their needs. Long term goals include the client maintaining appropriate nutrition and monitoring their blood sugar levels. The rationale is to help evaluate the client's understanding and compliance with their diet, and to decrease risks to the fetus by keeping the client's blood sugar within recommended ranges.

Uploaded by

Mary Joan Faye Garrido
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd

ASSESSMENT DIAGNOSIS SCIENTIFIC PLANNING INTERVENTION RATIONALE

ANALYSIS
SUBJECTIVE: Risk for Gestational SHORT TERM
altered diabetes is high GOAL:
nutrition: blood sugar 1. Assess and record 1. To help in evaluating
Less than (glucose) that After 8 hours dietary pattern and client’s understanding
body starts during of nursing caloric intake using a and/or compliance to
requirements pregnancy. intervention 24-hour recall. a strict dietary
related to Eating a the client will 2. Adjust diet or insulin regimen.
OBJECTIVE: gestational balanced, verbalized regimen to meet 2. Prenatal metabolic
- V/S diabetes healthy diet understanding individual needs needs change
taken mellitus can help you of causative 3. Monitor serum throughout the
as manage factors and blood glucose levels trimesters, and
follows gestational necessary (Fasting blood sugar, adjustment is
: diabetes. You interventions preprandial 1 and determined by weight
should eat to promote two hr postprandial) gain and laboratory
T- 36.4 degree three small- to optimum on the first visit, test results. Insulin
Celsius moderate-sized nutrition then as indicated by needs in the first
P- 70bpm meals and one client’s condition. trimester are 0.7
R- 20cpm or more snacks LONG TERM 4. Recommend unit/kg of body
BP- each day. Do GOAL: monitoring urine ket weight. Between 18-
110/70mmHg not skip meals ones on awakening 24 weeks of gestation,
and snacks. After 3 days and when a planned it increases to 0.8
Keep the of nursing meal or snack is unit/kg; at 34 weeks’
amount and intervention delayed gestation, 0.9 unit/kg,
types of food the client will and 1.0 unit/kg by 36
(carbohydrates, able to weeks gestation.
fats, and maintain 3. Incidence of fetal
proteins) the appropriate and newbornabnormal
same from day nutrition ities is decreased
to day. intake when fasting blood
sugar levels range
between 60 and 100
mg/dl, preprandial
levels between 60 and
105 mg/dl, 1-hr
postprandial remains
below 140 mg/dl, and
2-hr postprandial is
less than 120 mg/dl.
4. Insufficient caloric
intake is reflected by
ketonuria, indicating a
need for an increased
intake of
carbohydrates or
additional snack in the
dietary plan (e.g.,
recurrent presence of
ketonuria on
awakening may be
eliminated by 3 am a
glass of milk). The
presence of ketones
during the second
trimester may reflect
“accelerated
starvation” as the
diminished
effectiveness of insulin
results in a catabolic
state during fasting
periods (e.g., skipping
meals), causing
maternal metabolism
of fat. Adjustment of
insulin type, dosage,
and/or frequency
must be required.

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