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Asked by gualch

Mark and his partner return 2 weeks later, gestational age 30 weeks. Mark states that he is feeling anxious and feels like he is failing at the recommendations that you provided. He has brought his log with him from the past 2 weeks, and the numbers are as follows (the highest numbers recorded are provided):

fasting 4 mmol/L, 1hr PP 5.6 mmol/L and, 2hr PP 5.5 mmol/L 

He reports that he goes for a walk once or twice a week for 20 minutes. 

He has seen the dietitian and they reviewed nutrition recommendations. 

Based on these findings, what are your priorities for nursing interventions and education for Mark and his partner this visit? Select all that apply. 

 

 
Inquire about his mood and coping 

 
Discuss the need for further caloric restriction to manage glucose levels

 
Inquire about symptoms of hypertension

 
Review fetal movements and daily kick counts 

 
Discuss the recommendation of repeated enhanced fetal assessments throughout the rest of the pregnancy 

 
Advise that a pharmacologic agent will likely need to be started to help manage blood glucose levels 

 
Review symptoms of potential infection 

 
Inquire about his exercise routine and encourage him to increase his activity if he is able. 
SCIENCE
HEALTH SCIENCE
NURSING
FAMILY SOC FMLY 1420

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