Diabetes and Pregnancy Physiological Changes Quiz
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Questions and Answers

What is the normal glycosylated hemoglobin level considered for a postpartum client with a history of gestational diabetes?

  • Between 6 and 7 percent (correct)
  • Between 15 and 20 percent
  • Between 10 and 12 percent
  • Less than 5 percent
  • What happens to a pregnant woman's insulin needs at the beginning of pregnancy?

  • Insulin needs rapidly increase because of insulin resistance
  • Insulin needs first decrease then will increase later in pregnancy (correct)
  • Insulin needs don’t change during pregnancy
  • Insulin needs stay the same in the beginning
  • If a pregnant client's blood glucose level is 180 mg/dL 2 hours after an oral glucose tolerance test, what is this result associated with?

  • Impaired fasting glucose
  • Type 2 diabetes
  • Gestational diabetes (correct)
  • A second glucose test is indicated
  • How should a nurse respond to a pregnant client without personal family history asking about the need for diabetes testing?

    <p>&quot;Genetic predisposition isn't the only factor that can lead to gestational diabetes&quot;</p> Signup and view all the answers

    Which of the following is a risk factor for developing gestational diabetes?

    <p>First degree relative with diabetes mellitus</p> Signup and view all the answers

    What test does the nurse anticipate the provider ordering for a 34-week pregnant client with poorly controlled glucose in gestational diabetes?

    <p>Non-stress test</p> Signup and view all the answers

    What result from a 50g glucose tolerance test is considered normal?

    <p>Two-hour glucose level less than 140 mg/dL</p> Signup and view all the answers

    What statement best explains a pregnant client's glucose tolerance test result of 210 mg/dL one hour after the test?

    <p>&quot;You have Gestational Diabetes&quot;</p> Signup and view all the answers

    What is a typical glycosylated hemoglobin level considered normal for a postpartum client with a history of gestational diabetes?

    <p>Between 6 and 7 percent</p> Signup and view all the answers

    During pregnancy, why do a pregnant woman's insulin needs change at the beginning?

    <p>Insulin needs first decrease then will increase later in pregnancy</p> Signup and view all the answers

    What does a blood glucose level of 180 mg/dL, 2 hours after an oral glucose tolerance screening at 28 weeks' gestation indicate?

    <p>Gestational diabetes</p> Signup and view all the answers

    Why might a pregnant client need to be tested for diabetes even if she has no personal family history of the condition?

    <p>&quot;Pregnancy itself can cause changes in glucose metabolism&quot;</p> Signup and view all the answers

    What is the implication of a postpartum client with a glycosylated hemoglobin level of 20%?

    <p>Suggests undiagnosed type 2 diabetes</p> Signup and view all the answers

    Which statement best describes a risk factor for developing gestational diabetes?

    <p>Age younger than 30 years</p> Signup and view all the answers

    What risk does a client with poorly controlled gestational diabetes pose to the fetus?

    <p>Increased risk of shoulder dystocia</p> Signup and view all the answers

    What is a potential complication for the infant of a mother with uncontrolled gestational diabetes?

    <p>Hypoglycemia</p> Signup and view all the answers

    After childbirth, what health risk should the nurse emphasize to a client with a history of gestational diabetes?

    <p>Increased risk of developing type 2 diabetes mellitus</p> Signup and view all the answers

    Why might a prenatal client be asked to undergo a 50g glucose tolerance test?

    <p>To screen for gestational diabetes</p> Signup and view all the answers

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