Changes occur as a woman progresses through labor. What maternal adaptations are expected during labor? (Select all that apply.) A. Hyperglycemia B. Slight increase in baseline pulse and respiratory rates C. Decrease in white blood cell count D. Decrease in gastric motility leading to nausea and vomiting, especially during the transition phase. E. Proteinuria 2+ F. Increase in both systolic and diastolic blood pressure during uterine contractions

Labor is defined as the continuous events of uterine contractions during the delivery of a child. The cervix of the female undergoes dilation and effaces to allow the fetus to move through the birth canal.

The correct options are:

A. Hyperglycemia

D. Decrease in gastric motility leads to nausea and vomiting, especially during the transition phase.

Hyperglycemia is the presence of a high amount of sugar in the blood. During the pregnancy, the women are at high risk of hyperglycemia. The hormones in pregnant women cause the excess build-up of glucose to meet the requirements of mother and fetus. Thus, the pancreas can fail to produce insulin and cause gestational diabetes.

During the transition phase, women experience prolonged contractions, chills, and vomiting. Frequent urination and heartburn are also common in pregnancy. The respiratory rate also increases and blood volume increases by 30%.

Thus, options A and D are correct.

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