The patient with insulin-dependent type 2 diabetes and an HbA_1c of 5.0% is planning to become pregnant soon. What anticipatory guidance should the nurse provide this patient? A)Insulin needs decrease in the first trimester and increase during the third trimester. B)The risk of ketoacidosis decreases during the length of the pregnancy. C)Vascular disease that accompanies diabetes slows progression. D)The baby is likely to have a congenital abnormality because of the diabetes.

Question

Quizplus · Accepted Answer

During pregnancy, insulin needs increase as the placenta produces hormones that can impair insulin function. The first trimester may see decreased insulin needs due to nausea and vomiting, but by the third trimester, insulin needs usually increase significantly. The risk of ketoacidosis does not decrease during pregnancy and vascular disease can progress more quickly. While there is an increased risk of congenital abnormalities with uncontrolled diabetes during pregnancy, good blood sugar control can significantly reduce this risk.

The Patient with Insulin-Dependent Type 2 Diabetes and an HbA1c

The Patient with Insulin-Dependent Type 2 Diabetes and an HbA_1c