Nursing intervention for pregnant clients with diabetes is based on the knowledge that the need for insulin is:
a. varied depending on the stage of gestation.
b. increased throughout pregnancy and the postpartum period.
c. decreased throughout pregnancy and the postpartum period.
d. should not change because the fetus produces its own insulin.
ANS: A
Insulin needs decrease during the first trimester, when nausea, vomiting, and anorexia are a factor. Insulin needs increase during the second and third trimesters, when the hormones of pregnancy create insulin resistance in maternal cells. Insulin needs change during pregnancy.
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