Gestational Diabetes Management Quiz
Test your knowledge about gestational diabetes mellitus (GDM), its risks, management, and complications.
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Quiz Questions & Answers
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Question 1: A nurse is explaining the pathophysiology of gestational diabetes to a newly diagnosed client. The nurse should explain that insulin resistance during pregnancy is primarily caused by which of the following?
Decreased caloric intake
Hormones of pregnancy
Maternal weight loss
Increased physical activity
Question 2: A nurse is reinforcing teaching with a pregnant client regarding her insulin needs. Which of the following information should the nurse include?
Insulin needs remain stable throughout the entire pregnancy
Insulin needs gradually increase as the pregnancy progresses
Insulin needs decrease during the second and third trimesters
Oral hypoglycemic agents are the preferred treatment for all pregnant clients
Question 3: A nurse is reviewing maternal risks associated with gestational diabetes. Which of the following complications should the nurse monitor for?
Hypotension
Urinary tract infections
Decreased blood pressure
Hypothermia
Question 4: A client at 26 weeks of gestation has just received an abnormal 1-hr 50 g glucose tolerance test (GTT). Which of the following actions should the nurse anticipate the provider will order next?
Immediate initiation of insulin therapy
A 3-hr glucose tolerance test (GTT)
A nonstress test (NST)
Repeat the 1-hr GTT in 30 days
Question 5: A nurse is teaching a client with GDM about exercise and GDM. Which of the following instructions should the nurse provide?
Avoid exercise to prevent increasing insulin needs
Eat a complex carbohydrate snack prior to exercise
Inject regular insulin immediately before starting exercise
Exercise only if the blood pressure is below 100/60 mmHg
Question 6: A nurse is assessing a newborn whose mother had gestational diabetes. Which of the following clinical findings is the priority?
Hyperglycemia
Hypoglycemia
Hyperthermia
Increased birth weight
Question 7: Which of the following should a nurse question on a care plan for a pregnant client who has Type II diabetes?
Reinforcing dietary modifications
Maintaining a daily exercise routine
Continuing the use of oral hypoglycemic agents
Reinforcing the importance of glucose monitoring
Question 8: A nurse is explaining to a client why her newborn is at risk for hypoglycemia. Which of the following statements should the nurse include?
The baby's pancreas stopped producing insulin after birth
The baby is no longer receiving the mother's high glucose supply but continues to produce high levels of insulin
The baby was born with too little body fat to maintain sugar levels
The baby has a decreased metabolic rate after birth
Question 9: A nurse is reviewing fetal monitoring options for a client with GDM. Which of the following evaluates the baby's lung maturity?
Biophysical profile
Nonstress test
Lecithin-sphingomyelin (L/S) ratio
Fetal kick counts
Question 10: A nurse is discussing fetal risks of GDM with a client. The nurse should explain that 'macrosomia' refers to which of the following?
A baby with small lungs
A baby with a large body
A baby with low blood calcium
A baby born before 37 weeks