The case of Mr. Mansoor highlighted how complex issues such

1. The nurse is reviewing nurses’ notes to determine if there are any variations. Click to highlight the findings that would indicate the client has developed a complication related to pregnancy. The client is a 32-year-old multigravida at 28 weeks’ gestation, who presents to the obstetrician’s office for a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one spontaneous abortion at 10 weeks’ gestation. Her fourth child weighed 9 pounds (4.08 kg) at 41 weeks gestation. Client is at 28 weeks She has been receiving prenatal care since 8 weeks’ gestation. Her fasting 1-hour glucose screening level, which was done 1 week prior, is 164 mg/dL (9.1 mol/L). Her 3-hour oral glucose tolerance test results reveal a fasting blood sugar of 168 (9.3 mmol/L) and a two-hour postprandial of 220 mg/dL (12.2 mmol/L).

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