Question

A nurse is performing an initial assessment of a pregnant adolescent client with diabetes mellitus. The client says to the nurse, "I've stopped my insulin and cut back on my food." Which client concern does the nurse recognize as the priority?

A. Concern about nutritional deficiency
B. Concern about getting stretch marks
C. Concern about being able to care for the infant
D. Concern about what her friends might think about her wearing maternity clothes

Answer 1

The nurse would prioritize the client's concern about not taking insulin during pregnancy due to the potential risks of high blood sugar levels. It is important to address this issue promptly to ensure the well-being of both the client and the fetus.

Step-by-step explanation:

The nurse would recognize the client's concern about not taking her insulin as the priority. Insulin is crucial for managing diabetes, especially during pregnancy. If the client stops taking insulin, it can lead to dangerously high blood sugar levels, which can negatively impact both the client and the developing fetus. The nurse should address this concern immediately and emphasize the importance of continuing insulin therapy under the guidance of a healthcare provider.