The nurse is teaching a pregnant woman with type 1 diabetes about her diet during pregnancy. Which client statement indicates that the nurse's teaching was successful?
A) "I'll basically follow the same diet that I was following before I became pregnant."
B) "Because I need extra protein, I'll have to increase my intake of milk and meat."
C) "Pregnancy affects insulin production, so I'll need to make adjustments in my diet."
D) "I'll adjust my diet and insulin based on the results of my urine tests for glucose."
C
Response:
In pregnancy, placental hormones cause insulin resistance at a level that tends to parallel growth of the fetoplacental unit. Nutritional management focuses on maintaining balanced glucose levels. Thus, the woman will probably need to make adjustments in her diet. Protein needs increase during pregnancy, but this is unrelated to diabetes. Blood glucose monitoring results typically guide therapy.
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a. True b. False