A Client Who Has Type 2 Diabetes Is Pregnant with Her

Multiple Choice

A client who has type 2 diabetes is pregnant with her second child. She was not diagnosed with diabetes until after her first pregnancy. Past obstetric history is unremarkable-spontaneous vaginal birth of a male weighing 7 pounds, 15 ounces. The client is now concerned over what will happen during this subsequent pregnancy as a result of her disease process. What impact could the disease process have on her upcoming birth?

A) Client will not be able to receive an epidural for pain management.
B) Client will not be able to have a vaginal birth.
C) A planned birth will be instituted by her health care provider.
D) It is likely that she will deliver a fetus who is small for gestational age (SGA) .