WOMEN AND NEWBORN HEALTH NURSING (NURS 419)

Laboratory and simulation skills

Case Scenarios (Student Guidelines)

Topic Scenario: Gestational Diabetes Mellitus

Name of the Patient: Sajedah
Age:38 years
Married: non-consanguineous
Husband: works as engineer

Diagnosis: SVD, laceration sutured , ebl 250 ml

Gestational diabetes Mellitus
G2 P1 @ 39 weeks of gestation

ON EXAMINATION:

1 day post-partum – findings

Linea nigra, Chloasma, abdomen protruded, umbilicus – flat.
Uterus- boggy and soft
Fundal height: 2 Finger above umbilicus.
Lochia – normal,
BP is high - 126/90 mm HG, pulse 100bpm, Respiration 28 bpm, Sao2 – 92%, SOB

THE PHYSICIANADVISED:

Scenario Tab . Folic acid (5mg) daily

LAB INVESTIGATIONS:

1. Hgb: 9.2 gm/dl (12.0 to 15.5 gm/dl)

2. WBC: 10.5 109/L (4.5 to 11.0 × 109/L)
3. Platelet: 350 (150 to 400 × 109/L)
4. Glucose: 185 mg/dl
5. The Glucose Challenge Test & The Oral Glucose Tolerance Test -Explain this test

Past medical history: Had regular menstruation. Not diabetic or hypertensive

Present history – pain and leaking per vagina.

Present pregnancy: had hyperemesis and bleeding in 2weeks of pregnancy.

Family history: : Uncle is Diabetic and Hypertensive

Personal history: prefers – Diet no preference, non-smoker

Patient’s perception of illness: - She feels that she will deliver the baby and anxious about
the blood glucose sugar.
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