CM2 exam 5 || very Flawless.

maternal insulin correct answers does not cross the placenta baby creates its own insulin resistance in late pregnancy makes what for the baby? correct answers more glucose available what are the effects of pregnancy on the metabolism in weeks 1-20 correct answers increased lvl of estrogen and progesterone stimulate increased insulin production by the maternal pancrease - increased tissue response to insulin - greater demand and utilization of glucose during 1st trimester by mom and fetus - N/V can put mom at risk for hypoglycemia effects on pregnancy of the metabolism on late pregnancy weeks 20-40 correct answers HPL secrete and increased estrogen and progesterone cause increased resistance to insulin and maternal cells - insulin requirements increase 2-3x during second half of pregnancy - may leave mom hyperglycemic if unable to produce insulin risk for gestational diabetes postpartum effects of metabolism correct answers abrupt cessation of placental hormones, insulin demand declines rapidly what is the glucose challenge test correct answers All women screened 24-28 weeks gestation Woman does not need to fast Drinks 50 g or oral glucose solution 1 hr later, blood is taken If BS *140*, a 3 hr oral glucose tolerance test is ordered what is a 3hr GTT correct answers the patient must fast for 8 hours a fasting sugar will be obtained then you'll drink about 8 ounces of a glucose solution containing 100 grams of sugar, the blood glucose levels will be tested at one, two and three hours after you consume liquid one hour after drinking the glucose solution normal bg levels correct answers lower than 180 two hours after drinking the glucose solution, a normal BG levels are correct answers lower than 155 three hours after drinking the glucose solution a normal BG levels are correct answers lower than 140 if one of the results in the 3hr blood glucose test than correct answers you'll like test again in one month if two or more are higher than normal you will be diagnosed with gestational diabetes