18 Questions
When should pregnant women be screened for gestational diabetes?
Between 24-28 weeks of pregnancy
Which hormones support the pregnancy and baby's growth in gestational diabetes?
Human placental lactogen (hPL), estrogen, progesterone, and cortisol
What is a common consequence for individuals with gestational diabetes after delivery?
Increased risk of developing diabetes mellitus in their lifetime
Why are oral hypoglycemic agents not used during pregnancy?
They cause adverse effects on the fetus
In gestational diabetes, high insulin sensitivity means that:
Cells are receptive to insulin, allowing easy glucose transport into the cell
What factors increase the risk of developing gestational diabetes?
Age over 35, multiple gestation, and family history of diabetes mellitus
What is the primary cause of hypoglycemia in pregnant women during the 1st trimester?
Increased insulin sensitivity
When does low insulin sensitivity (insulin resistance) typically occur during pregnancy?
2nd or 3rd trimester
Which of the following is NOT a sign of low insulin sensitivity in pregnant women?
Increased calorie intake
What is a potential effect of excessive glucose in a pregnant woman's blood during the 2nd or 3rd trimester?
Increased fetal growth
Which hormonal changes contribute to the development of low insulin sensitivity in pregnant women?
Placental hormones
What is a recommended range for maintaining blood glucose levels in pregnant women with diabetes?
$65$ to $130$ mg/dL
What is a common effect of diabetes mellitus on newborn infants?
Hyperbilirubinemia
During the first trimester of pregnancy, what happens to maternal insulin needs?
Decrease
What happens to insulin requirements during the second and third trimesters of pregnancy?
Increase
Why is it that maternal glucose crosses the placenta but insulin does not?
Insulin is produced by the fetus
What effect do increased placental hormones have on insulin resistance in pregnant women?
Increases it
What typically happens to insulin requirements after placental delivery?
Requirements decrease
Learn about the complications of gestational diabetes mellitus during pregnancy, including changes in insulin requirements, premature delivery, fetal size, and newborn health issues. Prepared by Marison Ann C. Bunyi, RN, MAN from the College of Nursing.
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