A diabetic patient is 1 day postpartum after an uncomplicated vaginal birth. She wants to know why her blood sugar levels are so much lower than usual. What explanation by the nurse is best?
A.
"Because you are dehydrated, your blood sugar decreases for a few days."
B.
"I will call the dietician to see if you are getting enough calories."
C.
"The levels of hormones that cause an anti-insulin effect are decreased."
D.
"The exertion from childbirth is like a massive workout for your body."
ANS: C
After childbirth, levels of hormones that exert an anti-insulin effect, such as estrogen, progesterone, human placental lactogen, cortisol, growth hormone, and insulinase, all decline. This leads to a drop in blood glucose in the few days following childbirth.
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