Which factor is most important in diminishing maternal/fetal/neonatal complications in a pregnant woman with diabetes?
a. The woman's stable emotional and psychological status
b. Evaluation of retinopathy by an ophthalmologist
c. Total protein excretion and creatinine clearance within normal limits
d. Degree of glycemic control before and during the pregnancy
D
The occurrence of complications can be greatly diminished by maintaining normal blood glucose levels before and during the pregnancy.
Assessing a woman's emotional status is helpful. Coping with a pregnancy superimposed on preexisting diabetes can be very difficult for the whole family. However, it is not the top priority.
Even nonpregnant diabetics should have a yearly eye examination.
Baseline renal function is assessed with a 24-hour urine collection and does not diminish the woman's risk for complications.
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A) True B) False
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