A 23-year-old woman who is 16 weeks pregnant is seen by the nurse for a routine maternal-child clinic appointment. The client has had erratically controlled type 1 diabetes since 12 years old. The client asks the nurse if she is at risk during her pregnancy. The nurse instructs the client she should do which of the following actions to limit complications for both her and her baby? Select all that apply.

  • eat healthy foods
  • refrain from exercise
  • take medications as directed
  • monitor her blood sugar before every meal
Numbers 1 and 3 are correct.
Adequate dietary nutrition is essential to provide necessary nutrients to both the baby and the mother. Medications should be taken as directed to help keep blood glucose in control. Exercise should be done regularly before, during, and after pregnancy. Blood sugar should be monitored as symptoms warrant since pregnancy causes the body’s need for energy to change.