Let's work through Nina's next step. She is eight weeks postpartum after preeclampsia and gestational diabetes. Her baby is still in neonatal intensive care. Start with her symptoms today, what testing has already happened, and who is currently responsible for her care. A referral alone does not tell us that a visit occurred.

If she has no urgent symptoms, complete the indicated postpartum evaluation. After gestational diabetes, the American Diabetes Association recommends a seventy-five gram oral glucose tolerance test at four to twelve weeks postpartum. Confirm whether it was done, arrange it if needed, and identify who will review and explain the result.

Make the plan workable. Ask whether transportation, childcare or the hospital schedule could prevent testing. Agree on a feasible appointment and a way to contact Nina. Record the responsible clinician, the review date, and what the team will do if the test or visit is missed.

The plan changes if Nina develops new chest pain or trouble breathing. Arrange emergency assessment; routine screening must not delay it. Then explain the next step in words Nina could repeat back to you.