QUIZ: Gestational Diabetes

 

Gestational Diabetes Questions

This quiz contains gestational diabetes questions for maternity nursing.

• 1. A 34-year-old female is currently 16 weeks pregnant. You're collecting the patient's health history. She has the following health history: gravida 5, para 4, BMI 28, hypertension, depression, and family history of Type 2 diabetes. Select below all the risk factors in this scenario that increases this patient’s risk for developing gestational diabetes?*
  • A. 34-years-old
  • B. 16 weeks pregnant
  • C. Gravida 5, para 4
  • D. BMI 28
  • E. Hypertension
  • F. Depression
  • G. Family history of Type 2 diabetes
• 2. When do most patients tend to develop gestational diabetes during pregnancy?*
  • A. usually during the 1-3 month of pregnancy
  • B. usually during the 2-3 month of pregnancy
  • C. usually during the 1-2 trimester of pregnancy
  • D. usually during the 2-3 trimester of pregnancy
• 3. You're providing an educational class for pregnant women about gestational diabetes. You discuss the role of insulin in the body. Select all the CORRECT statements about the role and function of insulin:*
  • A. "Insulin is a type of cell that provides glucose to the body from the blood."
  • B. "Insulin is a hormone secreted by the beta cells of the pancreas."
  • C. "Insulin influences cells by causing them to uptake glucose from the blood."
  • D. "Insulin is a protein that helps carry glucose into the cell for energy."
• 4. A 32-year-old female is diagnosed with gestational diabetes. As the nurse you know that what test below is used to diagnose a patient with this condition?*
  • A. 1 hour glucose tolerance test
  • B. 24 hour urine collection
  • C. Hemoglobin A1C
  • D. 3 hour glucose tolerance test
• 5. A 36-year-old pregnant female is diagnosed with gestational diabetes at 28 weeks gestation. You’re educating the patient about this condition. Which statement by the patient demonstrates they understood your teaching about gestational diabetes?*
  • A. “Once I deliver the baby, it will go away, and I will not need any further testing.”
  • B. “It is important I try to get my fasting blood glucose around 70-95 mg/dL  and <140 mg/dL 1 hour after meals.”
  • C. “There are no risks or complications related to gestational diabetes other than hyperglycemia.”
  • D. “I’m at risk for delivering a baby that is too small for its gestational age due to this condition.”
• 6. Fill-in the blank: When a woman develops gestational diabetes it is during a time in the pregnancy when insulin sensitivity is _____________. This is majorly influenced by hormones such as estrogen, progesterone, _______________ and _______________.*
  • A. high; prolactin and human chorionic gonadotropin (hCG)
  • B. low; estriol and human placental lactogen (hPL)
  • C. high; human chorionic gonadotropin (hCG) and cortisol
  • D. low; human placental lactogen (hPL) and cortisol
• 7. Your patient is 36 weeks pregnant and has gestational diabetes. Which lab result below is euglycemic?*
  • A. Blood glucose 55 mg/dL
  • B. Blood glucose 82 mg/dL
  • C. Blood glucose 148 mg/dL
  • D. Blood glucose 325 mg/dL
• 8. A patient has gestational diabetes and is currently 34 weeks pregnant. Which assessment findings below should you immediately report to the physician? Select all that apply:*
  • A. Blood glucose 129 mg/dL
  • B. Blood pressure 190/102
  • C. Proteinuria
  • D. Linea nigra
  • E. Negative glycosuria
• 9. A patient is 35 weeks pregnant. She has gestational diabetes and uncontrolled hyperglycemia. Her current blood glucose is 290 mg/dL. You administer insulin per physician’s order and recheck the blood glucose level per protocol. It is now 135 mg/dL. Which statement by the patient requires you to notify the physician?*
  • A. “It burns when I urinate.”
  • B. “My back is hurting.”
  • C. “I feel tired.”
  • D. “I feel the baby kick about 10 times an hour.”
• 10. A baby is born at 37 weeks gestation to a mother with gestational diabetes. As the nurse you know at birth that the newborn is at risk for? Select all that apply:*
  • A. Hyperglycemia
  • B. Hypoglycemia
  • C. Respiratory distress
  • D. Jaundice
  • E. Hyperthermia
• 11. You’re teaching a pregnant mother with gestational diabetes about the signs and symptoms of hyperglycemia. What are the signs and symptoms you will include in your education to the patient? Select all that apply:*
  • A. Sweating
  • B. Confusion
  • C. Frequent hunger
  • D. Polydipsia
  • E. Anxiety
  • F. Frequent urination
• 12. When are most pregnant patients tested for gestational diabetes?*
  • A. 6-12 weeks gestation
  • B. 12-20 weeks gestation
  • C. 24-28 weeks gestation
  • D. 34-36 week gestation
• 13. A patient completes a one hour glucose tolerance test. The patient’s result is 190 mg/dL. As the nurse you know that the next step in the patient’s care is to?*
  • A. Continue monitoring pregnancy, the test is normal
  • B. Reassess blood glucose in 2 weeks
  • C. Notify the physician who will order the patient to take a 3 hour glucose tolerance test
  • D. Provide education to the patient about how to manage gestational diabetes during pregnancy
• 14. A patient has a 3 hour glucose tolerance test performed. The results are the following: Fasting 94 mg/dL, 1 hour 210 mg/dL, 2 hour 180 mg/dL, 3 hour 130 mg/dL. Identify which results are abnormal: Select all that apply:*
  • A. Fasting result
  • B. 1 hour result
  • C. 2 hour result
  • D. 3 hour result
• 15. You educate a pregnant patient with gestational diabetes that she should try to have a blood glucose level of ______________ 1 hour after a meal.*
  • A. <70 mg/dL
  • B. <250 mg/dL
  • C. >160 mg/dL
  • D. <140 mg/dL
• 16. You’re discharging a patient who just gave birth to a baby at 39 weeks gestation. The patient had gestational diabetes throughout her pregnancy. Her blood glucose levels have now returned to normal. When should the patient first follow-up with her physician for blood glucose testing?*
  • A. 1-3 years
  • B. 6-12 weeks postpartum
  • C. 1 year postpartum
  • D. Not applicable since this condition has resolved and only occurs during pregnancy

ANSWER to the QUIZ