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; (B)</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 (D)</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 (A)</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 (A)</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; (A)</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 (B)</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 (A)</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 (D)</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; (D)</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 (A)</p> Signup and view all the answers

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

<p>Age younger than 30 years (C)</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 (B)</p> Signup and view all the answers

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

<p>Hypoglycemia (D)</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 (C)</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 (A)</p> Signup and view all the answers

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