women with diabetes have a higher incidence of birth anomalies - avoid puncturing the placenta - patient who has postpartum hemorrhage

- Because women with diabetes have a higher incidence of birth anomalies than women without diabetes, an alpha-fetoprotein level may be ordered at 15 to 17 weeks’ gestation.

- To avoid puncturing the placenta, a vaginal examination shouldn’t be performed on a pregnant patient who is bleeding.

- A patient who has postpartum hemorrhage caused by uterine atony should be given oxytocin as prescribed.