Deck 7: Gestational Diabetes

Question 1

When educating an obese patient who is trying to conceive, which statement regarding gestational diabetes should be included?

A) A healthy diet in the second trimester can lower your risk of developing gestational diabetes.
B) Preemptively losing weight can lower your risk of developing gestational diabetes.
C) If you develop gestational diabetes, it will not harm the fetus.
D) If you develop gestational diabetes, it will only harm the fetus.

Answer 1

Preemptively losing weight can lower your risk of developing gestational diabetes.

Question 2

What is the role of insulin in the body?

A) It raises the concentration of glucose in the blood.
B) It metabolizes glucose to yield energy.
C) It transports glucose into the cells.
D) It can be used as energy in cells.

Answer 2

It transports glucose into the cells.

Question 3

Which is true of insulin resistance in pregnancy?

A) Hormones can block the effects of maternal insulin.
B) Weight gain in pregnancy does not affect insulin.
C) Excess insulin is produced in pregnancy.
D) Catabolism decreases insulin resistance.

Answer 3

Hormones can block the effects of maternal insulin.

Question 4

Normal weight gain during pregnancy is

A) 5-15 lb
B) 15-25 lb
C) 25-35 lb
D) 35-45 lb

Question 5

Gestational diabetes is becoming more prevalent due to

A) Increasing rates of obesity
B) Increasing hormone levels in meat and dairy products
C) Increasing average maternal age
D) Increasing diagnosis of autoimmune disorders

Question 6

Administration of insulin is required for

A) Type 1 diabetes
B) Type 2 diabetes
C) Gestational diabetes
D) Both type 2 and type 2 diabetes

Question 7

The 3 Ps of diabetes symptoms are

A) Polyuria, Polydipsia, Pain
B) Polyuria, Polydipsia, Polyphagia
C) Polyphagia, Polydipsia, Polycythemia
D) Polyphagia, Polydipsia, Pain

Question 8

Macrosomia of the fetus occurs because of

A) Decreased surfactant
B) Increased fetal growth hormone
C) Decreased fetal insulin
D) Increased maternal blood pressure

Question 9

History of which condition is a risk factor for gestational diabetes?

A) Endometriosis
B) Pelvic inflammatory disease
C) Polycystic ovarian syndrome
D) Ectopic pregnancy

Question 10

A hemoglobin A1c (HbA1c) test is used to measure

A) Blood glucose levels over the last 3 weeks
B) Blood glucose levels over the last 3 months
C) Hemoglobin levels over the last 3 weeks
D) Hemoglobin levels over the last 3 months

Question 11

The initial oral glucose tolerance test (OGTT) is

A) Fasting and 1 hour after ingestion of 50 g glucose
B) Fasting and 1 hour after ingestion of 100 g glucose
C) Nonfasting and 1 hour after ingestion of 50 g glucose
D) Nonfasting and 1 hour after ingestion of 100 g glucose

Question 12

Symptoms of hypoglycemia include

A) Bradycardia, hunger, and nausea
B) Tachycardia, sweating, and shaking
C) Bradycardia, clamminess, and pallor
D) Tachycardia, polyuria, and dry mouth

Question 13

Testing that monitors the fetal heart rate and includes an ultrasound examination to determine the amniotic fluid levels is a(n)

A) Biophysical profile
B) Nonstress test
C) Amniocentesis
D) Fetal movement count

Question 14

Marginal previa occurs when the placenta is (refer to Case Study 2: Vaginal Bleeding)

A) Completely covering the cervical os
B) Partially covering the cervical os
C) At the edge of the cervical os
D) Outside of the uterus