A Client at 20 Weeks' Gestation Asks the Nurse Midwife

Multiple Choice

A client at 20 weeks' gestation asks the nurse midwife if she will be able to breastfeed her baby after birth. The client has a history of type 2 diabetes, which has been well-controlled before and during the pregnancy. The client has a BMI of 34. Which of the following statements by the nurse midwife is the most appropriate?

A) "Whether or not you can breastfeed your baby will depend on your blood glucose levels after birth."
B) "Mothers with type 2 diabetes are encouraged to breastfeed their babies after birth. Breastfeeding may also lower your need for insulin."
C) "You may not breastfeed your baby after birth. Insulin can cross into the breast milk and may cause your baby to develop hypoglycemia. Your baby may be nourished with formula milk."
D) "Breastfeeding is encouraged for women with type 2 diabetes. However, you may need to increase your insulin when nursing."