Patient Data
History and Physical 、 Nurses' Notes
The client is a 32 -year-old multigravida at 28 weeks' gestation, who presents to the obstetrician's office for a routine prenatal visit. Obstetrical history reveals she has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton) and once at 41 weeks (singleton). All of these children are alive and well. She had one spontaneous abortion at 10 weeks' gestation. Her fourth child weighed 9 pounds ( 4.08 kg ) at 41 weeks gestation.
The client asks the diabetic nurse educator to clarify what the Registered Dietician told her about the content and timing of her meals.
Which 3 responses should the diabetic nurse educator provide?
A Increase the percentage of protein in the diet if anemia develops
B Avoid foods high in refined sugars.
C Eliminate the bedtime snack if heartburn develops after eating
D Driek between 8 to 10 cups ( 1.9 to 2.4 liters) of fluids daily.
É Choose complex carbohydrates that are high in fiber content.