The nurse is caring for a 34-year-old woman who is pregnant with her third child. The client was diagnosed with hypothyroidism between her second and third pregnancies. What special considerations should the nurse include when caring for this client?

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A)Pregnant women with preexisting endocrine disorders such as hypothyroidism may need to change their dosage of hormone replacement therapy during the pregnancy. The nurse should consult with the provider to determine what dose is appropriate for the client. Hypothyroidism does not increase the risk for gestational diabetes or diabetes insipidus; these metabolic disorders are related to dysfunction of other endocrine glands, not the thyroid gland. The current recommendation is that all pregnant clients take a folic acid supplement to reduce the risk of neural tube defects.
B)Pregnant women with preexisting endocrine disorders such as hypothyroidism may need to change their dosage of hormone replacement therapy during the pregnancy. The nurse should consult with the provider to determine what dose is appropriate for the client. Hypothyroidism does not increase the risk for gestational diabetes or diabetes insipidus; these metabolic disorders are related to dysfunction of other endocrine glands, not the thyroid gland. The current recommendation is that all pregnant clients take a folic acid supplement to reduce the risk of neural tube defects.
C)Pregnant women with preexisting endocrine disorders such as hypothyroidism may need to change their dosage of hormone replacement therapy during the pregnancy. The nurse should consult with the provider to determine what dose is appropriate for the client. Hypothyroidism does not increase the risk for gestational diabetes or diabetes insipidus; these metabolic disorders are related to dysfunction of other endocrine glands, not the thyroid gland. The current recommendation is that all pregnant clients take a folic acid supplement to reduce the risk of neural tube defects.
D)Pregnant women with preexisting endocrine disorders such as hypothyroidism may need to change their dosage of hormone replacement therapy during the pregnancy. The nurse should consult with the provider to determine what dose is appropriate for the client. Hypothyroidism does not increase the risk for gestational diabetes or diabetes insipidus; these metabolic disorders are related to dysfunction of other endocrine glands, not the thyroid gland. The current recommendation is that all pregnant clients take a folic acid supplement to reduce the risk of neural tube defects.

The Nurse Is Caring for a 34-Year-Old Woman Who Is