Certified Diabetes Educator Practice Exam

During pregnancy, women with pre-existing retinopathy may experience changes in their condition due to the physiological changes that occur in the body, particularly related to blood volume and hormonal fluctuations. Increased blood volume and changes in blood pressure during pregnancy can lead to exacerbation of retinal issues, particularly in individuals with a history of diabetic retinopathy.

It is well documented that pregnancy can lead to the progression of retinopathy, making regular monitoring and management essential for expecting mothers with diabetes. High blood sugar levels and potential fluctuations during pregnancy can further contribute to the deterioration of retinal health. Therefore, understanding that pregnancy can exacerbate pre-existing retinopathy emphasizes the importance of diligent diabetic management and eye care during this period.

The other options do not accurately reflect the potential impact of pregnancy on retinopathy. While some might think improvements or stabilization could occur, the evidence suggests that the risk of progression is significant. Additionally, the idea that pregnancy eliminates retinopathy or has no effect contradicts the existing understanding of how physiological changes can negatively influence pre-existing eye conditions.