Page | 1
NSPN 7200 FINAL EXAM 2026
LATEST QUESTIONS AND
ANSWERS| ACE YOUR GRADES.
When does the fetus start creating their own insulin - correct
answer -Around 10 weeks gestation
During the first trimester of pregnancy what happens to the body
in relation to blood sugar and insulin levels - correct answer -
During the first trimester, rising levels of pregnancy hormones
estrogen and progesterone stimulate the maternal pancreas to
increase insulin production, which improves glucose utilization.
This consequently leads to lower fasting glucose levels.
What happens in a normal pregnancy r/t insulin and blood sugars
during the 2nd and 3rd trimester - correct answer -During the
second and third trimesters, there is decreased tolerance to
glucose, increased insulin resistance, decreased hepatic
glycogen stores, and increased hepatic production of glucose.
This all ensures an abundant supply of glucose for the fetus
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When does insulin resistance develop during prengnacy? -
correct answer -Second trimester
Will women with pre-gestational diabetes experience higher rates
of complications during pregnancy than women without diabetes -
correct answer -Yes
What are the complications associated with pre-gestational
diabetes - correct answer -fetal congenital malformations
(related to poor glycemic control early in pregnancy)
hypertension (incidence is 40%-45% for women with pre-
gestational diabetes)
preterm delivery
large-for-gestational-age infants
caesarean delivery
neonatal morbidities
perinatal mortality
Define Gestational Diabetes - correct answer -carbohydrate
intolerance that is first recognized during pregnancy
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When is gestational diabetes usually diagnosed? - correct
answer -24-28 weeks gestation
Risk factors for developing GDM - correct answer -
overweight/obesity
family history of diabetes
previous diagnosis of GDM
previous pregnancy with unexplained stillbirth
birth of malformed or macrosomic fetus in previous pregnancy
hypertension
polycystic ovary syndrome
maternal age over 25 years (some sources list advanced
maternal age of >35 years)
Hispanic, African-American, Indigenous, and Asian ethnicity
Risks of GMD - correct answer -Macrosomia, labour dystocia,
shoulder dystocia, birth trauma, neonatal hypoglycemia
Complications for overweight and obese women during
pregnancy are: - correct answer -gestational diabetes
hypertension
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infections
preterm delivery
elevated risk of instrumental or operative birth
blood clots
stillbirth
fetal distress
macrosomia
neonatal death
congenital anomalies
What is the first priority for all women of reproductive age who
have diabetes? - correct answer -Pre-conceptual counselling
What is pre-conceptual counseling for? - correct answer -This
counseling is aimed at ensuring glycemic control prior to
conception and ensuring the woman is aware of the effects of
pregnancy on her diabetes and the impact of diabetes on her
pregnancy
What is poor glycemic control associated with? - correct answer
-increased rates of miscarriage, congenital anomalies, respiratory
distress in the neonate, stillbirth
NSPN 7200 FINAL EXAM 2026
LATEST QUESTIONS AND
ANSWERS| ACE YOUR GRADES.
When does the fetus start creating their own insulin - correct
answer -Around 10 weeks gestation
During the first trimester of pregnancy what happens to the body
in relation to blood sugar and insulin levels - correct answer -
During the first trimester, rising levels of pregnancy hormones
estrogen and progesterone stimulate the maternal pancreas to
increase insulin production, which improves glucose utilization.
This consequently leads to lower fasting glucose levels.
What happens in a normal pregnancy r/t insulin and blood sugars
during the 2nd and 3rd trimester - correct answer -During the
second and third trimesters, there is decreased tolerance to
glucose, increased insulin resistance, decreased hepatic
glycogen stores, and increased hepatic production of glucose.
This all ensures an abundant supply of glucose for the fetus
, Page | 2
When does insulin resistance develop during prengnacy? -
correct answer -Second trimester
Will women with pre-gestational diabetes experience higher rates
of complications during pregnancy than women without diabetes -
correct answer -Yes
What are the complications associated with pre-gestational
diabetes - correct answer -fetal congenital malformations
(related to poor glycemic control early in pregnancy)
hypertension (incidence is 40%-45% for women with pre-
gestational diabetes)
preterm delivery
large-for-gestational-age infants
caesarean delivery
neonatal morbidities
perinatal mortality
Define Gestational Diabetes - correct answer -carbohydrate
intolerance that is first recognized during pregnancy
, Page | 3
When is gestational diabetes usually diagnosed? - correct
answer -24-28 weeks gestation
Risk factors for developing GDM - correct answer -
overweight/obesity
family history of diabetes
previous diagnosis of GDM
previous pregnancy with unexplained stillbirth
birth of malformed or macrosomic fetus in previous pregnancy
hypertension
polycystic ovary syndrome
maternal age over 25 years (some sources list advanced
maternal age of >35 years)
Hispanic, African-American, Indigenous, and Asian ethnicity
Risks of GMD - correct answer -Macrosomia, labour dystocia,
shoulder dystocia, birth trauma, neonatal hypoglycemia
Complications for overweight and obese women during
pregnancy are: - correct answer -gestational diabetes
hypertension
, Page | 4
infections
preterm delivery
elevated risk of instrumental or operative birth
blood clots
stillbirth
fetal distress
macrosomia
neonatal death
congenital anomalies
What is the first priority for all women of reproductive age who
have diabetes? - correct answer -Pre-conceptual counselling
What is pre-conceptual counseling for? - correct answer -This
counseling is aimed at ensuring glycemic control prior to
conception and ensuring the woman is aware of the effects of
pregnancy on her diabetes and the impact of diabetes on her
pregnancy
What is poor glycemic control associated with? - correct answer
-increased rates of miscarriage, congenital anomalies, respiratory
distress in the neonate, stillbirth
