When teaching a pregnant client about the physiologic changes occurring during pregnancy, the nurse reviews the effect of pregnancy on glucose metabolism. Which of the following would the nurse include as the underlying reason for the effect?
A) Pancreatic function is affected by pregnancy.
B) Glucose is utilized more rapidly during a pregnancy.
C) The pregnant woman increases her dietary intake.
D) Glucose is diverted through the placenta to assist the fetus.
Question 2
The nurse informs a diabetic primipara who has been on insulin for the last few years that her insulin needs will increase during pregnancy. The nurse bases this statement on the understanding that the placenta produces:
A) hCG, which increases maternal glucose levels
B) hPL, which deceases the effectiveness of insulin
C) estriol, which interferes with insulin crossing the placenta
D) relaxin, which decreases the amount of insulin produced
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