Gestational Diabetes NCLEX Questions

Questions and Answers

Which of the following risk factors increases this patient's risk for developing gestational diabetes? (Select all that apply)

BMI 28 (correct)

16 weeks pregnant

Family history of Type 2 diabetes (correct)

Hypertension

Gravida 5, para 4 (correct)

Depression

34-years-old (correct)

When do most patients tend to develop gestational diabetes during pregnancy?

Usually during the 2-3 month of pregnancy

Usually during the 1-3 month of pregnancy

Usually during the 2-3 trimester of pregnancy (correct)

Usually during the 1-2 trimester of pregnancy

Select all the CORRECT statements about the role and function of insulin:

Insulin is a type of cell that provides glucose to the body from the blood.

Insulin is a protein that helps carry glucose into the cell for energy.

Insulin influences cells by causing them to uptake glucose from the blood. (correct)

Insulin is a hormone secreted by the beta cells of the pancreas. (correct)

What test is used to diagnose a patient with gestational diabetes?

3 hour glucose tolerance test Signup and view all the answers

Once a patient delivers the baby, gestational diabetes will go away and no further testing will be needed.

False Signup and view all the answers

You educate a pregnant patient with gestational diabetes that she should try to have a blood glucose level of ______________ 1 hour after a meal.

140 mg/dL Signup and view all the answers

Identify which results are abnormal from the 3 hour glucose tolerance test: Select all that apply.

1 hour result Signup and view all the answers

Study Notes

Risk Factors for Gestational Diabetes

Advanced maternal age, specifically over 34 years, increases risk.
High gravida (5) and para (4) indicates multiple previous pregnancies, a risk factor.
BMI of 28 identifies the individual as overweight, contributing to risk.
History of hypertension is associated with higher gestational diabetes risk.
Family history of Type 2 diabetes also elevates the risk.

Development Timeline of Gestational Diabetes

Gestational diabetes typically arises during the 2nd or 3rd trimester of pregnancy.

Role of Insulin in the Body

Insulin is a hormone produced by the beta cells of the pancreas.
Its primary function is to facilitate glucose uptake by cells, providing energy.
Misconceptions include insulin as a cell type or as a protein carrying glucose.

Diagnostic Tests for Gestational Diabetes

A 3-hour glucose tolerance test is the confirmatory test for diagnosing gestational diabetes, following an abnormal 1-hour result.

Patient Education on Gestational Diabetes

Understanding that gestational diabetes may resolve after delivery, but follow-up testing is crucial.
Target fasting blood glucose levels for management should be maintained between 70-95 mg/dL.

Interpretation of Glucose Tolerance Test Results

Abnormal levels in a 3-hour glucose tolerance test:
- Fasting: >95 mg/dL
- 1-hour: >180 mg/dL (abnormal)
- 2-hour: >155 mg/dL (abnormal)
- 3-hour: >140 mg/dL

Blood Glucose Goals for Patients

Patients should aim for a blood glucose level of 140 mg/dL or lower 1 hour after meals.

Description

Test your knowledge on gestational diabetes risk factors and NCLEX-style questions with this flashcard quiz. This quiz focuses on assessing risk factors and patient history related to gestational diabetes. Enhance your understanding and prepare for your NCLEX examination effectively.