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Question https://www.coursehero.com/qa/attachment/27051343/  Health Science Science Nursing BSN 1D Share QuestionEmailCopy link Comments (0)

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Question Rosa Rosales is a 34-year-old Ilocano woman with a 3-year history... Rosa Rosales is a 34-year-old Ilocano woman with a 3-year history of type 2 diabetes. She was seen in her primary physician's office because of a missed menstrual period; a pregnancy test was positive.  Her past obstetrical history included five vaginal deliveries and six miscarriages. All of her previous pregnancies occurred before the diagnosis of diabetes. Her previous medical care was in Puerto Prinsesa, Palawan. She was never told of any glucose problem during her pregnancies, and she does not know the birth weights of her children. At the time of referral, she was 8 weeks pregnant and taking glyburide 10 mg twice daily. She was checking her blood glucose once daily in the morning with typical readings between 180 and 220 mg/dl using glucometer. Family history was positive for diabetes in her mother. Her height was 62 inches, and her weight was 198 lb. Other than mild acanthosis nigricans and obesity, her physical examination was normal. She had no retinopathy and no evidence of neuropathy. Her glycosylated hemoglobin (HbA1c) level was 10.5%, and the capillary blood glucose 4 h after lunch was 201 mg/dl. She was started on insulin immediately and her glyburide was discontinued. She began monitoring her glucose before and after each meal, making daily adjustments in insulin. She received nutrition education with an appropriate calorie intake plus an emphasis on frequent smaller meals and limited carbohydrate intake. Within 1 week, her plasma glucose values were ranging from 140 to 170 mg/dl, and in the following week she had a vaginal bleeding and confined to the hospital with medical Diagnosis Mild Placenta Previa. Identify two nursing diagnosis.Make a nursing care plan. Health Science Science Nursing Share QuestionEmailCopy link Comments (0)
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