Gestation Diabetes Mellitus Complications in Pregnancy
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Questions and Answers

When should pregnant women be screened for gestational diabetes?

  • Between 24-28 weeks of pregnancy (correct)
  • Between 32-36 weeks of pregnancy
  • Between 20-24 weeks of pregnancy
  • Between 12-16 weeks of pregnancy

Which hormones support the pregnancy and baby's growth in gestational diabetes?

  • Insulin and glucagon
  • Thyroid hormones only
  • Human placental lactogen (hPL), estrogen, progesterone, and cortisol (correct)
  • Parathyroid hormone

What is a common consequence for individuals with gestational diabetes after delivery?

  • Decreased risk of developing diabetes mellitus
  • Improved glucose tolerance
  • Increased risk of developing diabetes mellitus in their lifetime (correct)
  • Increased insulin sensitivity

Why are oral hypoglycemic agents not used during pregnancy?

<p>They cause adverse effects on the fetus (C)</p> Signup and view all the answers

In gestational diabetes, high insulin sensitivity means that:

<p>Cells are receptive to insulin, allowing easy glucose transport into the cell (D)</p> Signup and view all the answers

What factors increase the risk of developing gestational diabetes?

<p>Age over 35, multiple gestation, and family history of diabetes mellitus (C)</p> Signup and view all the answers

What is the primary cause of hypoglycemia in pregnant women during the 1st trimester?

<p>Increased insulin sensitivity (B)</p> Signup and view all the answers

When does low insulin sensitivity (insulin resistance) typically occur during pregnancy?

<p>2nd or 3rd trimester (D)</p> Signup and view all the answers

Which of the following is NOT a sign of low insulin sensitivity in pregnant women?

<p>Increased calorie intake (B)</p> Signup and view all the answers

What is a potential effect of excessive glucose in a pregnant woman's blood during the 2nd or 3rd trimester?

<p>Increased fetal growth (D)</p> Signup and view all the answers

Which hormonal changes contribute to the development of low insulin sensitivity in pregnant women?

<p>Placental hormones (D)</p> Signup and view all the answers

What is a recommended range for maintaining blood glucose levels in pregnant women with diabetes?

<p>$65$ to $130$ mg/dL (C)</p> Signup and view all the answers

What is a common effect of diabetes mellitus on newborn infants?

<p>Hyperbilirubinemia (D)</p> Signup and view all the answers

During the first trimester of pregnancy, what happens to maternal insulin needs?

<p>Decrease (A)</p> Signup and view all the answers

What happens to insulin requirements during the second and third trimesters of pregnancy?

<p>Increase (B)</p> Signup and view all the answers

Why is it that maternal glucose crosses the placenta but insulin does not?

<p>Insulin is produced by the fetus (B)</p> Signup and view all the answers

What effect do increased placental hormones have on insulin resistance in pregnant women?

<p>Increases it (A)</p> Signup and view all the answers

What typically happens to insulin requirements after placental delivery?

<p>Requirements decrease (D)</p> Signup and view all the answers
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