An 18-year-old client who has reached 16 weeks of gestation was recently diagnosed with pre-gestational diabetes.She attends her centering appointment accompanied by one of her girlfriends.This young woman appears more concerned about how her pregnancy will affect her social life than her recent diagnosis of diabetes.Several nursing diagnoses are applicable to assist in planning adequate care.What is the most appropriate diagnosis at this time?
A) Potential for injury to the fetus related to birth trauma
B) Lack of understanding related to diabetic pregnancy management
C) Lack of understanding related to insulin administration
D) Potential for injury to the mother related to hypoglycemia or hyperglycemia

Question

Quizplus · Accepted Answer

The most appropriate diagnosis at this time is "Lack of understanding related to diabetic pregnancy management" because the client's primary concern appears to be her social life rather than her health or the health of her fetus, indicating a lack of understanding of the implications of her pre-gestational diabetes on her pregnancy.

An 18-Year-Old Client Who Has Reached 16 Weeks of Gestation