NURSE 4470: ABNORMAL PREGNANCY QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
S/ S Diabetes Ans✓✓✓polyuria, polydipsia, polyphagia, weight loss
Carbohydrate metabolism normal in early pregnancy Ans✓✓✓-
increased insulin production and tissue sensitivity caused by rise in
hormones
Carbohydrate metabolism normal in second half of pregnancy
Ans✓✓✓prolonged hyperglycemia and hyperinsulinemia post meal
increased peripheral resistance to insulin
fasting and fat metabolism/ accelerated starvation
ketones in urine as a result of lipolysis
Insulin Needs in pregnancy: first, end of first, during labor, placental
delivery Ans✓✓✓less in first, up in end of first, up during labor, rapid
down after placental delivery
When is gestational diabetes recognized/tested for? Ans✓✓✓2nd or 3rd
trimester
low risk: 24-28 weeks
high: early as possible screening
, 1st test in screening for gestational diabetes Ans✓✓✓1 hour glucose
tolerance test: non fasting
drink sugar sit for 1 hr then draw blood
do second test if did pass first
greater than 130-140 mg/dL indicates further testing
2nd test in screening for gestational diabetes Ans✓✓✓3 hour glucose
tolerance test: fasting required, GDM diagnosed if two levels met or
exceeded
- 1 hr: 180, 2 hr: 155, 3 hr 140 or above for all
Interventions for gestational diabetes Ans✓✓✓diet therapy and exercise
glucose monitoring
insulin therapy (if applicable)
counseling is crucial for compliance
Iron deficiency anemia in pregnancy hemoglobin levels Ans✓✓✓less
than 11
Causes of anemia in pregnancy Ans✓✓✓insufficient hemoglobin
production
hemoglobin destruction
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
ALREADY GRADED A+
S/ S Diabetes Ans✓✓✓polyuria, polydipsia, polyphagia, weight loss
Carbohydrate metabolism normal in early pregnancy Ans✓✓✓-
increased insulin production and tissue sensitivity caused by rise in
hormones
Carbohydrate metabolism normal in second half of pregnancy
Ans✓✓✓prolonged hyperglycemia and hyperinsulinemia post meal
increased peripheral resistance to insulin
fasting and fat metabolism/ accelerated starvation
ketones in urine as a result of lipolysis
Insulin Needs in pregnancy: first, end of first, during labor, placental
delivery Ans✓✓✓less in first, up in end of first, up during labor, rapid
down after placental delivery
When is gestational diabetes recognized/tested for? Ans✓✓✓2nd or 3rd
trimester
low risk: 24-28 weeks
high: early as possible screening
, 1st test in screening for gestational diabetes Ans✓✓✓1 hour glucose
tolerance test: non fasting
drink sugar sit for 1 hr then draw blood
do second test if did pass first
greater than 130-140 mg/dL indicates further testing
2nd test in screening for gestational diabetes Ans✓✓✓3 hour glucose
tolerance test: fasting required, GDM diagnosed if two levels met or
exceeded
- 1 hr: 180, 2 hr: 155, 3 hr 140 or above for all
Interventions for gestational diabetes Ans✓✓✓diet therapy and exercise
glucose monitoring
insulin therapy (if applicable)
counseling is crucial for compliance
Iron deficiency anemia in pregnancy hemoglobin levels Ans✓✓✓less
than 11
Causes of anemia in pregnancy Ans✓✓✓insufficient hemoglobin
production
hemoglobin destruction
