In assessing the knowledge of a pregestational woman with type 1 diabetes concerning changing insulin needs during pregnancy, the nurse recognizes that further teaching is warranted when the woman states:
a. "I will need to increase my insulin dosage during the first 3 months of pregnan-cy."
b. "Insulin dosage will likely need to be increased during the second and third tri-mesters."
c. "Episodes of hypoglycemia are more likely to occur during the first 3 months."
d. "Insulin needs should return to normal within 7 to 10 days after birth if I am bot-tle-feeding."
A
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A Insulin needs are reduced in the first trimester because of increased insulin pro-duction by the pancreas and increased peripheral sensitivity to insulin.
B This statement is accurate and signifies that the woman has understood the teachings regarding control of her diabetes during pregnancy.
C This statement is accurate and signifies that the woman has understood the teachings regarding control of her diabetes during pregnancy.
D This statement is accurate and signifies that the woman has understood the teachings regarding control of her diabetes during pregnancy.
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