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Jan is a 42 year-old primigravida at 42 weeks of gestation with history of Diabetes type II. Her physician has ordered a biophysical profile (BPP). She is very upset and tells the nurse, "all my doctor told me is that this test will see if my baby is okay. I do not know what's going to happen and if it will be painful to me or harmful to my baby." BPP score was 8.
Diabetes mellitus type II
• A1C pregnancy was 8.6%, last month, it was 9.2%.
• Pre-pregnancy weight 90 kg, height 165 cm. She has gained 30 lbs through the course of her pregnancy.
• Currently on Insulin NPH 20 units twice daily, and Insulin Aspart 15 units with meals three times daily.
Write a nursing care plan for Jan and her fetus. Your care plan should consist of detailed assessment data pertaining to the client. This includes 1 goal, 1 nursing diagnosis, 3 nursing interventions with a rational for each, and 1 expected outcome.
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