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COMPREHENSIVE
NURSING
ASSESSMENT
Nursing Diagnosis
High risk to changes in nutrition less than the
needs associated with the inability to digest and
use the nutrients are less precise
High risk of fetal injury associated with
increased maternal glucose levels
Lack of knowledge about the condition of
diabetes is associated with the error information
Intervention
Nursing Diagnosis 1. High risk to changes in
nutrition less than the needs associated with the
inability to digest and use the nutrients are less
precise
Objective: After taking action .x24 ooclock for
said patients nutrition needs are met
Criteria Results: Maintain fasting blood glucose
levels between 60-100 mg/dl and 2 hours after
eating no more than 140 mg/dl
Intervention:
Assess caloric intake and diet in 24 hours
Rational: Assist in evaluating the patients understanding of
the diet
Review of the importance of regular meals when taking insulin
Rational: Eat little and to avoid hyperglycemia, after eating and
hunger
Assess understanding of stress in diabetic
Rational: Stress can lead to increased levels of glucose,
creating fluctuations in insulin requeirements
Teach patients about the finger stick method to monitor
glucose alone
Rational: insulin requirements maybe assessed based on the
findings of serum blood glucose periodically
Intervention:
Assess diabetic control before conception
Rasional: helps reduce the risk of fetal mortality
and abnormal
Examine fetal movements and fetal pulse each
visit
Rational: placental insufficiency and maternal
ketosis may negatively affect fetal movements and
fetal heart rate.
Observation of the urine ketone
Rational: ketone bodies can cause damage to the
central nervous system that cannt be fixed
Intervention
Provide information on the impact of pregnancy
on diabetic conditions and future expectations
Rational: increased knowledge can reduce fear,
icrease cooperation and help reduce fetal
complications.
Thank You