Question

The home health care nurse makes a visit to a pregnant client diagnosed with DM I. The client states I have been nauseated for 24 hours. It is most important for the nurse to ask which question?

a) Have you been monitoring your blood glucose levels regularly?
b) Are you taking your insulin as prescribed?
c) Have you experienced any vaginal bleeding?
d) How much weight have you gained in the past week?

Answer 1

The most important question a prenatal nurse should ask a pregnant client with Type 1 Diabetes Mellitus experiencing nausea is regarding the regular monitoring of their blood glucose levels, as nausea can significantly affect diabetic control, especially during pregnancy.

Step-by-step explanation:

When a prenatal nurse visits a pregnant client diagnosed with Type 1 Diabetes Mellitus (DM I) where the client reports nausea, the nurse's priority should be to assess the impact of nausea on her glucose control. Therefore, the most important question to ask the client would be:

"Have you been monitoring your

blood glucose levels

regularly?"

Nausea can lead to decreased intake of food, which can significantly affect blood glucose levels and insulin requirements. Regular monitoring is crucial in diabetes management, and it becomes even more essential during pregnancy due to the changing physiological needs and the increased risk of hypoglycemia or ketoacidosis.