A newly diagnosed type 1, insulin-dependent diabetic with good blood sugar control at 20 weeks' gestation asks how the diabetes will affect the baby. How should the nurse respond?
1. Your baby may be smaller than average at birth.
2. Your baby will probably be larger than average at birth.
3 Your baby might have high blood sugar for several days.
4. As long as you control your blood sugar, your baby will not be affected at all.
Question 2
The client with insulin-dependent type 2 diabetes and an HbA1c of 5 is planning to become pregnant soon. What anticipatory guidance should the nurse provide this client?
1. Vascular disease that accompanies diabetes slows progression.
2. The risk of ketoacidosis decreases during the length of the pregnancy.
3. The baby is likely to have a congenital abnormality because of the diabetes.
4. Insulin needs decrease in the first trimester and increase during the third trimester.
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