A client who is 4 weeks pregnant, is at the first prenatal visit and reports to the nurse the use of alcohol. Which of the following should the nurse educate the client about, to be a safe level of alcohol intake during pregnancy?

Explanation:

A. Preeclampsia: Preeclampsia is a condition characterized by high blood pressure and signs of damage to other organs, typically occurring after 20 weeks of pregnancy. While preeclampsia is a concern during pregnancy, it is not directly related to abruptio placentae.

B. Puerperal infection: Puerperal infection refers to an infection that occurs after childbirth. Although infections are a concern in the postpartum period, they are not specifically associated with abruptio placentae unless there are additional risk factors or complications.

C. Anaphylactoid syndrome of pregnancy: Anaphylactoid syndrome of pregnancy (also known as amniotic fluid embolism) is a rare but serious condition where amniotic fluid enters the maternal circulation, potentially causing a severe allergic-like reaction. This condition is not directly related to abruptio placentae.

D. Disseminated intravascular coagulation: DIC is a serious condition where the body's clotting mechanisms are abnormally activated, leading to widespread clot formation in small blood vessels. This can lead to bleeding tendencies and the formation of small blood clots throughout the body. DIC can be a complication of abruptio placentae, especially when there is evidence of bleeding such as petechiae and bleeding around the IV access site. Therefore, it is a significant concern in this context.

Explanation:

A. "I know I am at increased risk to develop type 2 diabetes."

This statement indicates an understanding of the increased risk for developing type 2 diabetes after experiencing gestational diabetes. It shows awareness of the long-term implications and the importance of ongoing monitoring and lifestyle management.

B. "I will reduce my exercise schedule to 3 days a week."

This statement is concerning because regular exercise is an essential component of managing gestational diabetes. Exercise helps control blood sugar levels, improves insulin sensitivity, and promotes overall health during pregnancy. The client should not reduce their exercise schedule unless advised by their healthcare provider for specific reasons.

C. "I will take my glyburide daily with breakfast."

Glyburide is an oral medication used to help control blood sugar levels in some cases of gestational diabetes. Taking it with breakfast can help optimize its effectiveness. This statement indicates an understanding of medication management.

D. "I should limit my carbohydrates to 50% of caloric intake."

Limiting carbohydrates is often a key part of managing gestational diabetes, as it can help control blood sugar levels. However, the specific percentage of carbohydrate intake may vary based on individual factors and should be determined in consultation with a healthcare provider or registered dietitian.