The nurse is assessing a client during the first prenatal visit. For which reason should the nurse conduct an additional assessment with this client?
a. BMI of 21
b. Maternal age 31 years
c. History of diabetes for 10 years
d. Drinking 1 small cup of coffee/day
c. History of diabetes for 10 years
Maternal diabetes places both the mother and infant at risk during pregnancy. Uncontrolled diabetes during pregnancy is associated with increased risk for miscarriages, stillbirth, macrosomia, obstetric complications, and intrauterine developmental and growth abnormalities. Maternal age of 31 is not considered a risk factor. BMI of 21 is within normal limits. The American College of Obstetricians and Gynecologists recommends that pregnant women limit caffeine intake to 200 mg/day because of health risks associated with intake higher than that amount.
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