NURS3244 Lecture Notes - Lecture 2: Vertically Transmitted Infection, Perfusion, Cystic Fibrosis
5 Sep 2016
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Pre-existing medical conditions in pregnancy [warning, notes done at 5 am of the test, review the actual ppt for final] Diabetes: hyperglycemia (too much blood sugar) resulting from defects in insulin secretion or insulin action. S&s of diabetes: 3 p"s (polyuria, polyphagia, polydipsia, ketoacidosis, glycosuria, acetonuria) Early = hypoglycemic, insulin; later pregnancy = hyperglycemic, insulin. Think about how in early pregnancy, placenta kinda new at its job at producing lactogen, so now later in pregnancy it can do that, so you"re gonna have more sugars. If placenta is not functioning well, insulin demands. Insulin demabds will drop back to baseline once baby delivered; breastfeeding moms are the exception though (will take longer cause they feedin) Ketoacidosis, prom, polyhydramnios, higher risk of mortality. Macrosombia, iugr, hyperbilirubemia (jaundice), delayed lung maturity, looking for 3/1 ratio, risk for congenital anomalies. Maintain normal glucose levels, watch labs for consistency. A1 pregnancy = pregnancy with no meds. Ama, obesity, family history, macrosomic infant, non-white.
