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

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Control of maternal glucose levels (< 7.0% in overtly diabetic women)is an important factor in determining fetal outcome.The glycosylated hemoglobin A?c (HbA?c)level is commonly assessed to guide adjustments in the treatment plan throughout pregnancy.Because the maternal serum HbA?c 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 HbA?c value of 2.5% to 5.9%;an HbA?c 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