Diabetes and Pregnancy Physiological Changes Quiz

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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?

"Genetic predisposition isn't the only factor that can lead to gestational diabetes" Signup and view all the answers

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

First degree relative with diabetes mellitus 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?

Non-stress test Signup and view all the answers

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

Two-hour glucose level less than 140 mg/dL 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?

"You have Gestational Diabetes" 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?

Between 6 and 7 percent Signup and view all the answers

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

Insulin needs first decrease then will increase later in pregnancy 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?

Gestational diabetes 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?

"Pregnancy itself can cause changes in glucose metabolism" Signup and view all the answers

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

Suggests undiagnosed type 2 diabetes Signup and view all the answers

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

Age younger than 30 years Signup and view all the answers

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

Increased risk of shoulder dystocia Signup and view all the answers

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

Hypoglycemia Signup and view all the answers

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

Increased risk of developing type 2 diabetes mellitus Signup and view all the answers

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

To screen for gestational diabetes Signup and view all the answers