HIGH RISK PERINATAL COMPREHENSIVE
EVALUATION SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
PASSED
●● What is the most common endocrine disorder associated with
pregnancy? Answer: Diabetes mellitus.
●● What is the key to achieving optimal outcomes in pregnant women
with diabetes? Answer: Strict maternal glucose control.
●● What characterizes diabetes mellitus? Answer: A group of metabolic
diseases characterized by hyperglycemia.
●● What are the classifications of diabetes? Answer: Type 1 diabetes,
Type 2 diabetes, other specific types, and gestational diabetes mellitus
(GDM).
●● What is gestational diabetes mellitus (GDM)? Answer: Any degree
of glucose intolerance with onset or recognition during pregnancy,
typically around 24-28 weeks.
●● What factors increase the likelihood of developing gestational
diabetes? Answer: Obesity, advanced maternal age, family history of
, diabetes, previous gestational diabetes, and previous delivery of large for
gestational age (LGA) infants.
●● What are some maternal risks associated with pregestational diabetes
mellitus? Answer: Macrosomia, polyhydramnios, ketoacidosis,
hyperglycemia, and hypoglycemia.
●● What fetal and neonatal risks are associated with diabetes in
pregnancy? Answer: Increased perinatal mortality risk, congenital
malformations, respiratory distress syndrome (RDS), prematurity, and
intrauterine fetal demise (IUFD).
●● What is the most common screening method for gestational diabetes
in the US? Answer: 1-hour glucose challenge test, with a cutoff of 135.
●● What interventions are recommended for managing gestational
diabetes antepartum? Answer: Diet, exercise, self-monitoring of blood
glucose, pharmacologic therapy, and fetal surveillance.
●● What nursing care measures should be anticipated for a client in
labor with diabetes? Answer: Maintain maternal blood glucose range to
avoid fetal hypoglycemia.
●● What is a critical consideration for maternal hypothyroidism during
early pregnancy? Answer: HCG can bind to TSH receptors, potentially
causing false positives or subclinical thyroid disorders.
EVALUATION SCRIPT 2026 FULL
QUESTIONS AND CORRECT ANSWERS
PASSED
●● What is the most common endocrine disorder associated with
pregnancy? Answer: Diabetes mellitus.
●● What is the key to achieving optimal outcomes in pregnant women
with diabetes? Answer: Strict maternal glucose control.
●● What characterizes diabetes mellitus? Answer: A group of metabolic
diseases characterized by hyperglycemia.
●● What are the classifications of diabetes? Answer: Type 1 diabetes,
Type 2 diabetes, other specific types, and gestational diabetes mellitus
(GDM).
●● What is gestational diabetes mellitus (GDM)? Answer: Any degree
of glucose intolerance with onset or recognition during pregnancy,
typically around 24-28 weeks.
●● What factors increase the likelihood of developing gestational
diabetes? Answer: Obesity, advanced maternal age, family history of
, diabetes, previous gestational diabetes, and previous delivery of large for
gestational age (LGA) infants.
●● What are some maternal risks associated with pregestational diabetes
mellitus? Answer: Macrosomia, polyhydramnios, ketoacidosis,
hyperglycemia, and hypoglycemia.
●● What fetal and neonatal risks are associated with diabetes in
pregnancy? Answer: Increased perinatal mortality risk, congenital
malformations, respiratory distress syndrome (RDS), prematurity, and
intrauterine fetal demise (IUFD).
●● What is the most common screening method for gestational diabetes
in the US? Answer: 1-hour glucose challenge test, with a cutoff of 135.
●● What interventions are recommended for managing gestational
diabetes antepartum? Answer: Diet, exercise, self-monitoring of blood
glucose, pharmacologic therapy, and fetal surveillance.
●● What nursing care measures should be anticipated for a client in
labor with diabetes? Answer: Maintain maternal blood glucose range to
avoid fetal hypoglycemia.
●● What is a critical consideration for maternal hypothyroidism during
early pregnancy? Answer: HCG can bind to TSH receptors, potentially
causing false positives or subclinical thyroid disorders.
