单选题 A client with type 1 (insulin-dependent) diabetes mellitus who is a multigravida visits the clinic at 28 weeks' gestation. Which of the following instruction by the nurse is appropriate for the client

A、 Nonstress testing is performed weekly until 32 weeks' gestation.
B、 Weekly fetal movement counts are made by the mother.
C、 Contraction stress testing is performed weekly.
D、 Induction of labor is begun at 34 weeks' gestation.

【正确答案】 A

【答案解析】For most clients with insulin-dependent diabetes mellitus, nonstress testing is done weekly until 32 weeks' gestation to assess fetal well-being. A nonreactive test may be followed by a contraction stress test (CST), but CST's aren't performed weekly because of the risks involved. The mother should make daily fetal movement counts beginning at 28 weeks' gestation. Labor may be induced for clients with large fetuses at 37 to 38 weeks' gestation.