A woman with Type 1 diabetes is considering becoming pregnant. How should the nurse use research information to establish a plan of care?

Question

Note: Credit will be given only if all correct choices and no incorrect choices are selected.
Standard Text: Select all that apply.
1. Discourage the client from considering pregnancy.
2. Make contact with the client frequently for monitoring.
3. Alert the client that few women with diabetes are able to complete pregnancy without serious complications
4. Teach the client about methods of maintaining tight glycemic control.
5. Help the mother understand the need to loosen restrictions on carbohydrate consumption while pregnant.

Answer 1

2,4
Rationale 1: The nurse should promote the client's health and advocate for her choice to become pregnant.
Rationale 2: The nurse should plan some form of frequent monitoring. For example, prenatal appointments should be more frequent.
Rationale 3: With proper monitoring and guidance, women with diabetes can have a successful and healthy pregnancy.
Rationale 4: Research indicates a possible connection between aneuploidy and maternal Type 1 diabetes. The study emphasized the need for these mothers to maintain tight glycemic control.
Rationale 5: This mother may or may not tolerate additional carbohydrates while pregnant. Close monitoring will reveal the best levels for this mother.