Nutrition Through The Life Cycle
7th Edition
ISBN: 9781337919333
Author: Brown, Judith E.
Publisher: Cengage Learning,
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Chapter 5, Problem 2.1CS
Summary Introduction
To determine: Whether Person E has gestational diabetes or not.
Introduction: High blood sugar level during pregnancy without the history of diabetes is referred to as gestational diabetes. In gestational diabetes, insulin resistance increases with the progression of pregnancy and hence, insulin requirement also increases. An increased Body Mass Index (BMI) is also associated with an increased risk of gestational diabetes. The American Diabetes Association has recommended screening for blood glucose level to be undertaken during 24 to 28 weeks of pregnancy.
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Mrs. Zexy Lucero, 30 years old, G1P0, 6 weeks by LMP presents at the lying in clinic for prenatal check-up. History revealed a Type 1 diabetes since 14 years of age, history of diabetic nephropathy and proliferative retinopathy and is bothered about the effects on her baby. Which of the following statements about diabetes in pregnancy needs further instructions? (SELECT ALL THAT APPLIES)
a. Diabetes ketoacidosis is a common complication during the first trimester.
b. Glycosylated hemoglobin levels are poor predictors of the risk of congenital malformations
c. Proteinuria over 300 mg/dL is associated with increased risk of preeclampsia.
d. The risk of fetal chromosomal abnormalities is increased.
A 3-week-old female newborn is brought to the emergency department because of a 4-day history of bluish discoloration of the feet, poor feeding, excessive sweating, and irritability. She was born at term following an uncomplicated pregnancy and spontaneous vaginal delivery. Examination following delivery showed no abnormalities and she was discharged two days later. She is exclusively breastfed. She appears ill. She is at the 70th percentile for length and 20:h percentile for weight. Her temperature is 36.8°C (98.2°F), pulse is 168/min, and respirations are 66/min. Her blood pressure is 91/69 mm Hg in the right arm, 90/70 mm Hg in the left arm, 72/67 mm Hg in the right lower limb, and 70/68 mm Hg in the left lower limb. Pulse oximetry on room air shows an oxygen saturation of 98% in the right hand and 78% in the right foot. On examination, subcostal retractions are seen, and the liver is palpated 4 cm below the right costal margin. Chest auscultation discloses fine crepitations in both…
Mrs. Vanessa Narciso has a prenatal weight of 105 and weighs 108 lb at her 12 week visitWhich of the following comments by Nurse Marina is appropriate at this time ?
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Chapter 5 Solutions
Nutrition Through The Life Cycle
Ch. 5 - Prob. 1.1CSCh. 5 - Prob. 1.2CSCh. 5 - Prob. 1.3CSCh. 5 - Prob. 2.1CSCh. 5 - Prob. 2.2CSCh. 5 - Prob. 2.3CSCh. 5 - Prob. 2.4CSCh. 5 - Prob. 2.5CSCh. 5 - Prob. 3.1CSCh. 5 - Prob. 3.2CS
Ch. 5 - Prob. 3.3CSCh. 5 - Prob. 3.4CSCh. 5 - Prob. 1RQCh. 5 - Prob. 2RQCh. 5 - Prob. 3RQCh. 5 - Prob. 4RQCh. 5 - Prob. 5RQCh. 5 - Prob. 6RQCh. 5 - Prob. 7RQCh. 5 - Prob. 8RQCh. 5 - Prob. 9RQCh. 5 - Prob. 10RQCh. 5 - Prob. 11RQCh. 5 - Prob. 12RQCh. 5 - Prob. 13RQCh. 5 - Prob. 14RQCh. 5 - Prob. 15RQCh. 5 - Prob. 16RQ
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