Question

The nurse is discussing the insulin needs of a primaparous client with diabetes who has been using insulin for the past few years. The nurse informs the client that her insulin needs will increase during pregnancy based on the nurse's understanding that the placenta produces:

A) hCG, which increases maternal glucose levels
B) hPL, which deceases the effectiveness of insulin
C) Estriol, which interferes with insulin crossing the placenta
D) Relaxin, which decreases the amount of insulin produced"

Answer 1

During pregnancy, the placenta produces a hormone called hPL, which decreases the effectiveness of insulin.

Step-by-step explanation:

The correct answer is B) hPL, which decreases the effectiveness of insulin. During pregnancy, the placenta produces a hormone called Human Placental Lactogen (hPL), also known as Human Chorionic Somatomammotropin (hCS).

This hormone decreases the effectiveness of insulin, making it harder for insulin to regulate blood glucose levels. As a result, pregnant individuals with diabetes may require higher doses of insulin to maintain proper blood sugar levels.