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A nurse at a high-risk prenatal clinic is completing an assessment of a 29-year-old client who has just been diagnosed with gestational diabetes. The nurse knows that the pregnancy of a woman who has gestational diabetes carries a higher risk of complications, especially perinatal mortality and congenital anomalies.
1. Discuss two maternal risks associated with diabetes and pregnancy and why they would be risks.
2. Discuss two fetal-neonatal risks associated with diabetes and pregnancy and why they would be risks.
3. Discuss two screening tests that commonly are administered to pregnant women to screen for diabetes. The client asks the nurse how gestational diabetes is different from diabetes.
4. Discuss the differences between gestational diabetes mellitus and diabetes mellitus and how the pathophysiology and treatment differs.
5. The client asks about insulin. What type of insulin is preferred with gestational diabetes and why?
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