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Book 2 Unit 7
Select the one best answer to each question (unless otherwise instructed). Record your answers on the test.
Pregestational diabetes can be diagnosed in the first trimester of pregnancy.
True
False
Gestational diabetes mellitus (GDM) develops because the hormonal changes of pregnancy make a pregnant woman more resistant to the insulin her body produces.
True
False
After diagnosis is confirmed, GDM should be treated with insulin therapy.
True
False
It is desirable to keep the maternal fasting blood glucose level above 120 mg/dl throughout pregnancy .
True
False
Black women are at increased risk for GDM .
True
False
Pregnant women with an early 1-hour (50-g) oral glucose toler ance test (OGTI) blood glucose level above 140 mg/dl should have a standard 3-hour (100-g) OGTI value obtained to diagnose GDM.
True
False
Women with pregestational diabetes mellitus and women with GDM have the same risk of having a baby with congenital malformatio n(s).
True
False
Nearly all women with GDM will develop diabetes mellitus later in life.
True
False
Pregnant women with gestational diabetes are at increased risk for developing preeclampsia
True
False
GDM is diagnosed with a 3-hour (100-g) OGTI value when results from 2 or more testing periods (fasting, 1-hour, 2-hour, or 3-hour values) are above the reference range.
True
False
Generally, a planned delivery at 36 to 37 weeks of gestation is recommended when GDM is diagnosed
True
False
Insulin therapy may be needed during labor for women with GDM, even if insulin was not needed earlier in pregnancy
True
False
During the peripartum period, women with GDM should routinely receive all of these, except
A. Postpartum glucose tolerance test
B. Oral medications to control blood glucose level
C. Dietary intake of 60 to 65 g of protein each day
D. Capillary blood glucose home monitoring
Increased neonatal risks from maternal GDM include
Increased neonatal risks from maternal GDM include
Yes
No
Neonatal hypoglycemia
Birth trauma
Neonatal diabetes mellitus
Neonatal hyperbilirubinemia
Which of the following indicate that a woman might be at increased risk for the development of GDM?
Which of the following indicate that a woman might be at increased risk for the development of GDM?
Yes
No
Prepregnancy weight of 200 lb (91 kg) or more
Eastern European heritage
GDM in a previous pregnancy
Maternal age of 35 years or older
Which of the following actions are recommended for pregnant women with GDM?
Which of the following actions are recommended for pregnant women with GDM?
Yes
No
Begin testing for fetal well-being with nonstress tests or biophysical profiles at approximately 28 weeks of gestation
Consider the use of insulin if the blood glucose level is consistently 80 to 100 mg/dl
Plan to deliver at 39 weeks of gestation with well-controlled GDM and reassuring fetal well-being
Estimate fetal weight prior to undertaking vaginal delivery
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