Susan is a 26-year-old G1P0 at 6 weeks of gestationwith Type 2 diabetes. Her body mass index (BMI) is 32. Herhemoglobin A1c is 9. She takes glyburide 10 mg by mouth daily. Thephysician has switched her to insulin at thistime.

  • What is the nursing priority at thistime?
  • What should Susan be taught about insulin needs inpregnancy?
  • What additional risk factor does Susanhave?
  • How should Susan be counseled regarding weight gainin pregnancy?
  • What advice can be given to Susan regardingexercise?
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