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A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l.   Questions. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly. Construct a nursing care plan addressing 3 of patient’s problems.( actual and potential=3)

A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans. The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt). Examination Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation. INVESTIGATIONS Urinalysis: Glycosuria-1+ GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l.   Questions. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly. Construct a nursing care plan addressing 3 of patient’s problems.( actual and potential=3)

Phlebotomy Essentials
Phlebotomy Essentials
6th Edition
ISBN:9781451194524
Author:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Publisher:Ruth McCall, Cathee M. Tankersley MT(ASCP)
Chapter1: Phlebotomy: Past And Present And The Healthcare Setting
Section: Chapter Questions
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Case study 

A woman attends the antenatal clinic to discuss the result of her glucose tolerance test (GTT). She is 42 years old and this is her 6th pregnancy. She has previously had three caesarean sections, one early miscarriage and a termination of pregnancy. All booking tests were normal as were her 11-14 week ultrasound scans.

The woman is of Indian ethnic origin but was born and has always lived in the UK. She is now 26 weeks gestation and her midwife arranged a GTT for her because of a family history of Type 2 diabetes( her father and paternal aunt).

Examination

Her body mass index (BMI) is 31 Kg/M. BP- 146/87mmHG. The fundal Height is 29cms and the fetal heart rate is normal on auscultation.

INVESTIGATIONS

Urinalysis: Glycosuria-1+

GTT- Pretest fasting. 6.4 mmol/L and 2 hr post 75g glucose load: 11.3mmol/l.

 

Questions.

  1. What is the diagnosis for this patient and on what criteria can this be made? Discuss diagnosis briefly.
  2. Construct a nursing care plan addressing 3 of patient’s problems.( actual and potential=3)
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