[Expert Solution]: The client asks the nurse why she wasn’t…

The client asks the nurse why she wasn’t tested for gestational diabetes until she was at almost 28 weeks gestation. Question 4 of 23 The nurse’s response should be based on the understanding of which normal physiologic change of pregnancy? Maternal insulin crosses the placenta to regulate fetal glucose levels throughout pregnancy. In the first trimester, estrogen and progesterone cause an increase in maternal fasting glucose levels. Hormonal changes in the second and third trimesters result in increased maternal insulin resistance. Fetal insulin production increases each trimester, forcing the mother’s body to produce more glucose.