A pregnant woman who has diabetes mellitus is in the high-risk OB clinic for a checkup.The nurse notes that her hemoglobin A₁C (HbAIC)is 5%.Which action by the nurse is most appropriate?

Question

Quizplus · Accepted Answer

Control of maternal glucose levels (< 7.0% in overtly diabetic women)is an important factor in determining fetal outcome.The glycosylated hemoglobin A₁c (HbA₁c)level is commonly assessed to guide adjustments in the treatment plan throughout pregnancy.Because the maternal serum HbA₁c reflects the degree of glycemic control during the preceding 5 to 6 weeks,the test is repeated every trimester.Good diabetic control is reflected by an HbA₁c value of 2.5% to 5.9%; an HbA₁c value greater than 8% is indicative of poor diabetic control.Because the patient's value indicates good control,the most appropriate action is documentation.The patient may need to see the diabetic nurse educator,depending on other nursing assessments or patient desire.

A Pregnant Woman Who Has Diabetes Mellitus Is in the High-Risk