WEBVTT

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Let's work through Nina's next step.

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She is eight weeks postpartum after
preeclampsia and gestational diabetes.

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Her baby is still in
neonatal intensive care.

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Start with her symptoms today,
what testing has already

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happened, and who is currently
responsible for her care.

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A referral alone does not tell
us that a visit occurred.

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If she has no urgent symptoms, complete
the indicated postpartum evaluation.

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After gestational diabetes, the American
Diabetes Association recommends a

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seventy-five gram oral glucose tolerance

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test at four to twelve weeks postpartum.

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Confirm whether it was
done, arrange it if needed,

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and identify who will review
and explain the result.

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Make the plan workable.

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Ask whether transportation, childcare or

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the hospital schedule
could prevent testing.

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Agree on a feasible appointment
and a way to contact Nina.

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Record the responsible
clinician, the review date,

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and what the team will do if
the test or visit is missed.

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The plan changes if Nina develops
new chest pain or trouble breathing.

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Arrange emergency assessment;
routine screening must not delay it.

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Then explain the next step in words
Nina could repeat back to you.