A patient with diabetes is in the first trimester of pregnancy and is currently having difficulty keeping blood glucose levels within normal limits. The patient explains that she has been "eating for two" so the baby is healthy
What should the nurse respond to the patient? A) "Elevated blood glucose levels cause low birth weights in infants.".
B) "Elevated blood glucose levels ensure the baby has mature lungs at birth.".
C) "Elevated blood glucose levels hasten the development of the fetus in utero.".
D) "Elevated blood glucose levels in the first trimester have been linked to congenital anomalies.".
D
Feedback:
The first trimester of pregnancy is the most important time for fetal development. If the patient can control hyperglycemia during this time, the chances of a congenital anomaly are greatly reduced. Infants of patients with poorly controlled diabetes tend to be large. At birth, babies born to patients with uncontrolled diabetes are prone to respiratory distress syndrome. Elevated blood glucose levels do not hasten the development of the fetus in utero and can lead to hydramnios.
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