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Exam -2 533 Questions and Complete Solutions Graded A+
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Exam -2 533 Questions and Complete Solutions Graded A+
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Exam #2 533Questions and
Complete Solutions
Graded A+
Denning [Date] [Course title]
,risk factors for gestational diabetes. - Answer: To help you remember the risk factors think of the word
"MOMMA". Maternal age > 25, Obese or overweight (BMI >25), Macrosomia (fetal) previous babies
greater than 9 lbs, Multiple pregnancies, A history (previous diagnoses of gestational diabetes or family
history of diabetes).
When do most patients tend to develop gestational diabetes during pregnancy? - Answer: Gestational
diabetes is a form of diabetes that develops during pregnancy, usually during 2nd or 3rd trimester.
You're providing an educational class for pregnant women about gestational diabetes. You discuss the
role of insulin in the body. What should you include? - Answer: Insulin is a HORMONE secreted by the
beta cells found in the pancreas. It influences or causes cells to take in glucose from the blood.
A 32-year-old female is diagnosed with gestational diabetes. As the nurse you know that what test
below is used to diagnose a patient with this condition? - Answer: If a patient has a positive 1 hour
glucose tolerance test (which is administered at about 24-28 weeks), a 3 hour glucose tolerance test is
ordered. If this test is abnormal, it is used to diagnose gestational diabetes.
A 36-year-old pregnant female is diagnosed with gestational diabetes at 28 weeks gestation. You're
educating the patient about this condition. Which statement by the patient demonstrates they
understood your teaching about gestational diabetes? - Answer: It is important the mother monitors
her blood glucose level regularly and tries to maintain an euglycemic level (normal blood glucose level):
70-95 mg/dL fasting and <140 mg/dL 1 hour after meals. In most cases, once the baby is delivered, the
gestational diabetes will disappear, BUT at 6-12 weeks postpartum the mother will need to be
reassessed for diabetes
according to the CDC.gov 50% of women who are diagnosed with gestational diabetes will develop -
Answer: Type 2 diabetes later on
There are risks and complications associated with gestational diabetes such as - Answer: pre-term
labor, preeclampsia, hyper/hypoglycemia, macrosomia (large baby), hypoglycemia in baby at birth etc.
When a woman develops gestational diabetes it is during a time in the pregnancy when insulin
sensitivity is _____________. This is majorly influenced by hormones such as estrogen, progesterone,
_______________ and _______________. - Answer: low; human placental lactogen (hPL) and cortisol
, When a woman develops gestational diabetes it is during a time in the pregnancy when insulin
sensitivity is - Answer: LOW. This is majorly influenced by hormones such as estrogen, progesterone,
HUMAN PLACENTAL LACTOGEN (hPL) and CORTISOL.
Your patient is 36 weeks pregnant and has gestational diabetes. Which lab result is euglycemic? -
Answer: Euglycemic means "normal" blood glucose level. Typically a normal blood glucose level is about
70-140 mg/dL
A patient has gestational diabetes and is currently 34 weeks pregnant. Which assessment findings below
should you immediately report to the physician? - Answer: Blood pressure 190/102
Proteinuria
positive glycosuria
Preeclampsia is a potential complication of gestational diabetes. It can cause hypertension (option B)
and protein in the urine (option C).
A patient is 35 weeks pregnant. She has gestational diabetes and uncontrolled hyperglycemia. Her
current blood glucose is 290 mg/dL. You administer insulin per physician's order and recheck the blood
glucose level per protocol. It is now 135 mg/dL. Which statement by the patient requires you to notify
the physician? - Answer: "It burns when I urinate."
Gestational diabetes places a patient at risk for urinary tract infections because the glucose can leak into
the urine leading to infection (remember bacteria thrive on glucose). This scenario tells us the patient
has uncontrolled hyperglycemia, which definitely puts her at risk for glycosuria (glucose in the urine).
The physician should be notified if the patient reports burning on urination so a urine analysis can be
performed.
A baby is born at 37 weeks gestation to a mother with gestational diabetes. As the nurse you know at
birth that the newborn is at risk for? - Answer: The newborn is at risk for hypoglycemia and respiratory
distress. When a baby of a mom, who has gestational diabetes, is still in utero there is a constant high
supply of glucose. This causes the baby to increase its fat stores (producing a large baby) and create a lot
of insulin to deal with the high glucose it is receiving from mom. BUT once the baby leaves utero, the
glucose supply decreases but the baby still has a lot of insulin on board. This can lead to a drop in blood
glucose (hypoglycemia) at birth. In addition, uncontrolled gestational diabetes can affect lung maturity
in babies and this increases the newborn's risk of respiratory distress at birth.
You're teaching a pregnant mother with gestational diabetes about the signs and symptoms of
hyperglycemia. What are the signs and symptoms you will include in your education to the patient? -
Answer: Remember the 3 Ps for hyperglycemia: Polyphagia (frequent hunger), polydipsia (frequent
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