NCP GDM
NCP GDM
NCP GDM
OBJ. DATA:
Vitals monitored.
To monitor vital signs.
Patint loks
lethargic and Advised patient to have adequate
To have adequate fluid fluid consumption and small
dehydrated. consumption. frequent meals at regular interval.
Total urine
output is To monitor for signs of edema.
2700ml/day Mild edema present over lower
extremities.
To Discuss signs and symptoms of
Signs and symptoms of
hypoglycemia and hyperglycemia
hypoglycemia and hyperglycemia
discussed.
To Recommend monitoring urine
for ketones on awakening and
Recommended monitoring urine
when a meal is delayed.
for ketones on awakening and
when a meal is delayed.
SUBJ. DATA: Activity To assess patient’s level of patient’s level of tolerance of Patient is able to
intolerance r/t tolerance of activity. activity assessed. do self care acivity
Patient c/o increased and takes
weakness and energy To encourage to do self activity Encouraged to do self activity adequate rest and
fatigue and demands due sleep.
reduced self to disease
care activity. condition and To advise rest in between periods Advised rest in between periods of
increased fetal of activity activity
OBJ. DATA: nutrient
uptake. To advise to take night sleep of 6- advised to take night sleep of 6-8
Patient looks 8 hours hours
dull and activity
is limited.
Provide dietary information dietary information Provided about
about sources of iron and the sources of iron and the need for
need for iron supplements. iron supplements.
Mother Anxiety r/t To assess patients level of patients level of anxiety assessed. Mother shows
verbalizes her outcome of anxiety. less anxiousness
concern for her pregnancy and To the ways to improve pregnancy about the
baby as her health of To discuss with mother the ways outcome like by regular antenatal outcome of
previous two unborn child to improve pregnancy outcome checkup , maintained blood labour.
deliveries were as witnessed like by regular antenatal checkup glucose levels within normal range,
still birth. by mother’s etc. consuming diabetic diet. discussed
frequent with mother
doubts about
pregnancy To allow mother to ask questions
outcome. and ventilate her feelings mother allowed to ask questions
and ventilate her feelings
Assess client’s/couple’s
knowledge of disease process client’s/couple’s knowledge of
and treatment, including disease process and treatment,
relationships between diet, including relationships between
exercise, illness, stress, and diet, exercise, illness, stress, and
insulin requirements. insulin requirements assessed.