Gestational Diabetes Quiz

What are the normal metabolic changes during pregnancy compared to the pathophysiology of gestational diabetes?

• Increased insulin sensitivity

• Decreased insulin production

• Increased insulin resistance

• Decreased glucose levels

What potential complications can arise for the patient or fetus due to gestational diabetes?

• Low birth weight

• Hyperglycemia in the mother

• Decreased risk of preeclampsia

• Reduced amniotic fluid

How should the antepartum, intrapartum, and postpartum management of clients with gestational diabetes be described?

• Focus on dietary changes only

• Emphasize exercise and medication

• Include monitoring and lifestyle adjustments

• Rely solely on insulin therapy

What is the effect of Human Chorionic Sommatotropin (HPL) during the second and third trimesters of pregnancy?

• It decreases hepatic glucose production.

• It increases insulin sensitivity.

• It causes insulin antagonism and increases hepatic glucose production.

• It reduces available glucose for the fetus.

Why might insulin needs be lower during the first trimester of pregnancy?

• Due to increased insulin resistance.

• Because of increased insulin production and possible nausea/vomiting.

• Because of decreased estrogen levels.

• Due to increased hepatic glucose production.

What is the primary reason for the diabetogenic effect observed in the second and third trimesters of pregnancy?

• Increased insulin production.

• Decreased estrogen and progesterone levels.

• Insulin antagonism and increased hepatic glucose production.

• Reduced glucose availability for the fetus.

Based on the diagram, how do insulin needs change for a non-breastfeeding mother postpartum?

• Insulin needs decrease immediately after birth and remain low.

• Insulin needs increase immediately after birth and remain high.

• Insulin needs decrease immediately after birth and then gradually increase.

• Insulin needs remain constant throughout postpartum.

At which point during pregnancy do insulin needs begin to increase significantly?

• At 13 weeks of gestation

• At 20 weeks of gestation

• At 26 weeks of gestation

• At 36 weeks of gestation

What are the two main types of diabetes that can affect pregnant clients?

• Type I and Type II Diabetes Mellitus

• Type III and Type IV Diabetes Mellitus

• Type A and Type B Diabetes Mellitus

• Type X and Type Y Diabetes Mellitus

What is a potential birth outcome associated with a history of GDM?

• Low birth weight

• Macrosomic infant

• Early delivery

• No fetal anomalies