Several metabolic changes occur throughout pregnancy.Which physiologic adaptation of pregnancy will influence the nurse's plan of care?
A) Insulin crosses the placenta to the fetus only in the first trimester,after which the fetus secretes its own.
B) Women with insulin-dependent diabetes are prone to hyperglycemia during the first trimester because they are consuming more sugar.
C) During the second and third trimesters,pregnancy exerts a diabetogenic effect that ensures an abundant supply of glucose for the fetus.
D) Maternal insulin requirements steadily decline during pregnancy.

Question

Quizplus · Accepted Answer

During the second and third trimesters, pregnancy exerts a diabetogenic effect, which makes the mother less sensitive to insulin and ensures an abundant supply of glucose for the growing fetus. This adaptation can increase the risk of gestational diabetes in some women, and it may require adjustments to the management of pre-existing diabetes.

Several Metabolic Changes Occur Throughout Pregnancy