Client-Based Pathophysiology

Modifiable Risk Factors Non-modifiable Risk Factors

Overweight 41 years old

Risk factors

Mechanism of Action
Mother eats, blood glucose
Laboratory Tests
increases
Signs and Symptoms

Complications FBS: 137 mg/dl

Hyperglycemia PPBG: 198 mg/dl
Manifestations HbA1c: 8.2 %

Stimulate B cells of the pancreas

to release the hormone insulin to
circulation
FBS: 124mg/dl FBS: 124mg/dl
RBS: 162 mg/dl RBS: 162 mg/dl
2hrs PPBG Hyperglycemia in Hyperglycemia in fetal
Insulin resistance 2hrs PPBG
2pm: 142 mg/dl maternal complication complication
2pm: 142 mg/dl
8pm:148 mg/dl 8pm:148 mg/dl

Glucose to fetus
Hypertensive
Bp: 140/100mmHg

Fetal pancreas producing

Headache its own insulin

Painful uterine More growth of Estimated fetal weight of

contractions the fetus 3.2kg in 33 weeks AOG

Cervix open at 2 cm
Persistence of labor
macrosomic baby
pain
Cervix open at 6 cm
with bloody show

GDM

Preterm labor