Which nursing diagnosis would the nurse anticipate as having the highest priority for the client with gestational diabetes in labor
A．Risk for infection related to invasive procedures during labor.
B．Risk for injury to fetus related to the effects of diabetes on uteroplacental functioning.
C．Deficient knowledge related to lack of information about care during labor.
D．Interrupted family processes related to diabetes increasing the client's risk of complications.
参考答案：B
解析：The priority for care would be to monitor the fetal response to the contractions because pregnancy may have accelerated the progress of vascular disease. The gestational diabetic is at higher risk for the development of preeclampsia, therefore increasing the risk of uteroplacental insufficiency. All of the remaining nursing diagnoses are appropriate for the gestational diabetic during labor, but the priority remains close observation of the client's glucose level and the fetal response to labor contractions.