Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM
The nurse identifies that the fetus is at greatest risk for a. Macrosomia
b. Congenital anomalies of the central nervous system
c. Preterm birth
d. Low birth weight
A
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A Poor glycemic control later in pregnancy increases the rate of fetal macrosomia.
B Poor glycemic control during the preconception time frame and into the early
weeks of the pregnancy is associated with congenital anomalies.
C Preterm labor or birth is more likely to occur with severe diabetes and is the
greatest risk in women with pregestational diabetes.
D Increased weight, or macrosomia, is the greatest risk factor for this woman.
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