Which factor is most important in diminishing ...

[APUS57]

Which factor is most important in diminishing maternal/fetal/neonatal complications in a pregnant woman with diabetes?
 
  a. The woman's stable emotional and psychological status
  b. Evaluation of retinopathy by an ophthalmologist
  c. Total protein excretion and creatinine clearance within normal limits
  d. Degree of glycemic control before and during the pregnancy

Question 2

Amelia has tested HIV positive and has now discovered that she is pregnant. Which statement indicates that she understands the risks of this diagnosis?
 
  a. Even though my test is positive, my baby might not be affected.
  b. I know I will need to have an abortion as soon as possible.
  c. This pregnancy will probably decrease the chance that I will develop AIDS.
  d. My baby is certain to have AIDS and die within the first year of life.

[Cheesycrackers]

Answer to Question 1

D
The occurrence of complications can be greatly diminished by maintaining normal blood glucose levels before and during the pregnancy.
Assessing a woman's emotional status is helpful. Coping with a pregnancy superimposed on preexisting diabetes can be very difficult for the whole family. However, it is not the top priority.
Even nonpregnant diabetics should have a yearly eye examination.
Baseline renal function is assessed with a 24-hour urine collection and does not diminish the woman's risk for complications.

Answer to Question 2

A
The fetus is likely to test positive for HIV in the first 6 months until the inherited immunity from the mother wears off. Many of these babies will convert to HIV-negative status.