online solution: A 28-year-old G4P2 presents to your office for a routine pre

A 28-year-old G4P2 presents to your office for a routine prenatal… A 28-year-old G4P2 presents to your office for a routine prenatal visit at 24 weeks’ gestation. Her physical examination is unremarkable and fetal wellbeing is reassuring. You recommend testing for gestational diabetes mellitus (GDM). 1. What is gestational diabetes (GDM)? 2. Should everyone be screened for GDM? If so, at what gestational age should they be screened? 3. Her 1-hour GLT is 182 mg/dL. Does she have GDM? Explain. 4. All four values of her 3-hour GTT are elevated and her fasting glucose level is 127 mg/dL. How would you manage her GDM? How long would you allow her to try dietary restriction before adding a hypoglycemic agent? 5. The estimated fetal weight at 38 weeks’ gestation is 4,600 g (10 lb 2 oz). She has had six prior uncomplicated vaginal deliveries. How would you counsel her about delivery? 6. After extensive counseling, the couple decline elective cesarean section delivery. She is now 38 weeks’ gestation. How should she be managed at this point in time?. give 1 nursing diagnosis, short term and long term goals with expected outcome Health Science Science NursingNUR OB

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