A patient with type 1 diabetes is receiving preconception counseling. The nurse will emphasize that during the first trimester, the woman might experience:
1. The need for less insulin than she normally uses.
2. An increased risk for hyperglycemic episodes.
3. Signs and symptoms of hydramnios.
4. A need to be hospitalized for fetal testing.
1
Rationale 1: Women with type 1 diabetes often require less insulin during the first trimester.
Rationale 2: Women with type 1 diabetes have an increased risk for hypoglycemia.
Rationale 3: Hydramnios does not develop until the second or third month.
Rationale 4: They might be hospitalized or have fetal testing done as an outpatient, but not until the second or third trimester.
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