A newly diagnosed type 1, insulin-dependent diabetic with good blood sugar control is at 20 weeks' gestation. She asks the nurse how her diabetes will affect her baby. The best explanation would include:
1. "Your baby may be smaller than average at birth."
2. "Your baby will probably be larger than average at birth."
3. "As long as you control your blood sugar, your baby will not be affected at all."
4. "Your baby might have high blood sugar for several days."
Correct Answer: 2
Rationale 1: Poorly controlled type 1 diabetics who have developed vascular problems will have infants who are small for gestational age (SGA) due to placental insufficiency.
Rationale 2: The infant of a diabetic mother produces excessive amounts of insulin in response to the high blood sugar. This hyperinsulinism stimulates growth (or macrosomia) in the infant because the infant utilizes the glucose in the bloodstream.
Rationale 3: The demands of pregnancy will make it difficult for the best of patients to control blood sugar on a regular basis.
Rationale 4: Within minutes of delivery, the baby of an insulin-dependent diabetic can begin to have low blood sugar.
You might also like to view...
The nurse is caring for a client who has been on bedrest for a high risk pregnancy. This client is at risk for:(Select all that apply) Standard Text: Select all that apply
1. Disuse atrophy 2. Orthostatic hypotension 3. Thrombophlebitis 4. Dependent edema 5. Hypostatic pneumonia
Which term is defined as a vaguely outlined area of edematous tissue situated over the portion of the scalp that presents in a vertex delivery?
a. Hydrocephalus b. Cephalhematoma c. Caput succedaneum d. Subdural hematoma
A client with delusional thinking shows a lack of interest in eating at mealtimes. She states that she is unworthy of eating and that her children will die if she eats. Which nursing action would be most appropriate for this client?
A) Telling the client that she may become sick and die unless she eats B) Paying special attention to the client's rituals and emotions associated with meals C) Restricting the client's access to food except at specified mealtimes and snack times D) Encouraging the client to express her feelings at mealtimes
Hospice care occurs primarily in the hospital
True False