A patient with type 1 diabetes is receiving preconception ...

[crobinson2013]

A patient with type 1 diabetes is receiving preconception counseling. The nurse will emphasize that during the first trimester, the woman might experience:
 
  1. The need for less insulin than she normally uses.
  2. An increased risk for hyperglycemic episodes.
  3. Signs and symptoms of hydramnios.
  4. A need to be hospitalized for fetal testing.

Question 2

When blood pressure and other signs indicate that the preeclampsia is worsening, hospitalization is necessary to monitor the woman's condition closely.
 
  At that time, which of the following should be assessed? Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Fetal heart rate
  2. Blood pressure
  3. Temperature
  4. Urine color
  5. Pulse and respirations

[softEldritch]

Answer to Question 1

1
Rationale 1: Women with type 1 diabetes often require less insulin during the first trimester.
Rationale 2: Women with type 1 diabetes have an increased risk for hypoglycemia.
Rationale 3: Hydramnios does not develop until the second or third month.
Rationale 4: They might be hospitalized or have fetal testing done as an outpatient, but not until the second or third trimester.

Answer to Question 2

1, 2, 3, 5
Explanation: 1. Determine the fetal heart rate along with blood pressure, or monitor continuously with the electronic fetal monitor if the situation indicates.
2. Determine blood pressure every 1 to 4 hours, or more frequently if indicated by medication or other changes in the woman's status.
3. Determine temperature every 4 hours, or every 2 hours if elevated or if premature rupture of the membranes (PROM) has occurred.
5. Determine pulse rate and respirations along with blood pressure.