A 37-year-old client with type 1 diabetes and good glycemic control is pregnant for the third time. Her first child is 4 years old, and her second pregnancy resulted in a stillbirth. She is seen in the antepartum testing unit for a nonstress test (NST) at 33 weeks' gestation. What are the primary risk factors in the client's history that indicate a need for the NST? Select all that apply.
1.Age greater than 35 years
2.The risk for placenta previa
3.The risk for placental insufficiency
4.A history of stillbirth from her last pregnancy
5.Maternal history of hypertension
A pregnant woman with diabetes is prone to placenta insufficiency thus being unable to support the fetus which can lead to fetal death. Additionally, a history of hypertension which is usually associated with diabetes can also affect efficient functioning of the placenta. Lastly, the history of stillbirth is also an indication of NST.
