The client with insulin-dependent type 2 diabetes and an HbA_1c of 5% is planning to become pregnant soon. What anticipatory guidance should the nurse provide this client? A) Vascular disease that accompanies diabetes slows progression. B) The risk of ketoacidosis decreases during the length of the pregnancy. C) The baby is likely to have a congenital abnormality because of the diabetes. D) Insulin needs decrease in the first trimester and increase during the third trimester.

Question

Quizplus · Accepted Answer

Insulin needs typically decrease in the first trimester of pregnancy, but increase during the second and third trimesters as insulin resistance increases. The other options are incorrect. While vascular disease may slow progression, it is still a significant concern. The risk of ketoacidosis and hyperglycemia may increase during pregnancy. While the risk of congenital abnormalities may be increased in infants born to mothers with diabetes, it is not a guarantee and can be minimized with meticulous glucose control. Thus, the nurse would provide guidance related to insulin needs during pregnancy and the importance of tight glucose control to decrease risk to the fetus.

The Client with Insulin-Dependent Type 2 Diabetes and an HbA1c

The Client with Insulin-Dependent Type 2 Diabetes and an HbA_1c