In which circumstance would a nurse consider increased monitoring of a pregnant patient?

Increased monitoring of a pregnant patient is especially important when there is a history of gestational diabetes or hypertension in previous pregnancies. This is because such histories are associated with a higher risk of complications in subsequent pregnancies, including the recurrence of these conditions. The development of gestational diabetes can lead to significant maternal and fetal risks, including larger birth weights and increased chances of caesarean delivery. Similarly, a history of hypertension can lead to conditions like preeclampsia, which poses serious risks to both the mother and the fetus.

Given this context, healthcare providers typically implement a more intensive monitoring protocol for patients with these risk factors to identify potential issues early and ensure timely intervention. This could involve more frequent visits, additional screenings, and lifestyle guidance to promote better health outcomes for both the mother and the baby. Such proactive management can be crucial in mitigating risks and monitoring the health of both mother and child throughout the pregnancy.