Sample interview questions: Can you explain the steps you take to ensure proper monitoring and management of maternal blood glucose levels during labor?
Sample answer:
- Assessment:
- Obtain a complete maternal health history, including any history of diabetes or glucose intolerance.
- Measure the maternal blood glucose level upon admission to the labor and delivery unit.
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Continue to monitor blood glucose levels every 2-4 hours throughout labor, or more frequently if indicated by the patient’s history or condition.
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Intravenous (IV) Fluids:
- Administer IV fluids containing 5% dextrose to all laboring women, regardless of their glucose levels, to prevent hypoglycemia and maintain hydration.
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Adjust the rate of IV fluids based on the patient’s blood glucose levels, with higher rates for higher glucose levels and lower rates for lower glucose levels.
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Insulin Therapy:
- If the patient’s blood glucose levels exceed 120 mg/dL, initiate insulin therapy using a sliding scale or continuous IV insulin infusion.
- Adjust the insulin dosage based on the patient’s blood glucose levels, aiming to maintain a target range of 90-120 mg/dL.
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Monitor blood glucose levels closely to avoid hypoglycemia.
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Nutritional Support:
- Encourage the patient to consume small, frequent meals and snacks to prevent hypoglycemia.
- Avoid high-sugar foods and drinks, as these can cause rapid fluctuations in blood glucose levels.
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If the patient is unable to eat or drink, provide supplemental nutrition through IV fluids or enteral nutrition.
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Communication and Patient Education:
- Keep the patient and their support person infor… Read full answer
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