A nurse is caring for a pregnant woman with diabetes mellitus. What assessment finding demonstrates that the patient has successfully met an important goal during pregnancy?
A.
Blood glucose consistently < 130 mg/dL
B.
Electrolyte levels remaining within normal limits
C.
Fetal weight > 4,500 g at birth
D.
Pregnancy weight gain of no more than 20 lb
ANS: A
Women with diabetes should strive to maintain their blood glucose readings within normal parameters during pregnancy. Poor glycemic control contributes to fetal macrosomia (fetal weight > 500 g) and other complications. Weight gain should not be restricted to 20 lb, and electrolyte readings are not related to a major goal for this woman.
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