NURS 5032 - UNIT 3 - GESTATIONAL DIABETES AND INFECTIONS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++

NURS 5032 - UNIT 3 - GESTATIONAL DIABETES AND INFECTIONS EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED GRADED A++ What are pregnant persons with previous diabetes diagnoses (particularly type 1) at risk for? preterm delivery, preeclampsia, macrosomia, shoulder dystocia, intrauterine fetal demise, neural tube defects, UTIs, hydramnios, premature membrane rupture, neonatal hyperglycemia/hypoglycemia/hyperbilirubinemia, Type 2 DM for baby later in life What are some nursing roles associated with care of pregnant persons with diabetes? education, diabetes management, inpatient care What fetal surveillance should be conducted on a pregnant person with preexisting diabetes? ultrasound and fetal EKG at 20-22 weeks, fetal kick counting, BPP, amniotic fluid volume monitoring, fetal growth What is gestational diabetes? diabetes onset during pregnancy, typically developed after 20 weeks gestation Gestational diabetes affects approximately ______ of pregnancies. 7% Why is pregnancy a naturally diabetogenic state? hyperinsulinemia, hyperglycemia, mild fasting hypoglycemia Why does the body grow less responsive to insulin as a pregnancy progresses? placenta grows and increases hormone secretion, which increases insulin resistance in maternal cells to provide abundant glucose for the fetus What are some risk factors for gestational diabetes? greater than 25 years of age, elevated BMI, member of an ethnic group with high prevalence of DM, first degree relative with diabetes, GDM in previous pregnancy, history of abnormal blood glucose When should all pregnant persons be screened for GDM? between 24 and 28 weeks When should a pregnant person at high risk for Type II diabetes be screened for diabetes? an early prenatal visit What is the 1 Hour Glucose Challenge Test (GCT)? common screening test in which 50g of oral glucose are given to a pregnant person, and then a blood sugar is drawn 1 hour later, BG higher than 140mg/dL may indicate diabetes and requires further testing When is the GCT administered? early pregnancy (first trimester) for those with significant risk factors, routinely at 24-28 weeks What is the 3 Hour Glucose Tolerance Test? a diagnostic test to determine gestational diabetes, 100g oral glucose load given and then blood sugars drawn every hour What are the dietary restrictions for a 3 Hour Glucose Tolerance Test? daily intake of carbs must exceed 150g for 3 days prior, no eating (except water) for 8-14 hours before the test What pregnancy complication associated with DM is not associated with gestational DM? GDM has no increased incidence of congenital abnormalities How is blood sugar managed during gestational diabetes? modifications to diet and exercise, glucose monitoring, oral medications, insulin What is included in antepartum/intrapartum assessments on a patient with gestational diabetes? biophysical profiles, non-stress tests, growth ultrasounds, frequent blood sugars during labor and on baby postpartum, diabetes screening between 6-12 weeks postpartum and every 1-3 years after If a patient has a GCT of 155mg/dL at 25 weeks gestation, what is the best thing to tell her? This is an abnormal screening test result, please schedule a