Gestational Diabetes NCLEX Questions
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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?

    <p>3 hour glucose tolerance test</p> Signup and view all the answers

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

    <p>False</p> 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.

    <p>140 mg/dL</p> Signup and view all the answers

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

    <p>1 hour result</p> 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.

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    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.

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