Gestational Diabetes Management Quiz
Test your knowledge about gestational diabetes mellitus (GDM), its risks, management, and effects on mother and baby.
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Quiz Questions & Answers
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Question 1: Which of the following is the primary cause of insulin resistance during pregnancy?
Increased physical activity
Pregnancy hormones
Decreased caloric intake
Maternal weight loss
Question 2: A client with gestational diabetes has just received an abnormal 1-hour glucose tolerance test. What is the next appropriate step?
Start insulin therapy immediately
Conduct a 3-hour glucose tolerance test
Perform a nonstress test
Repeat the 1-hour test in 30 days
Question 3: What is the most common immediate concern for newborns of mothers with gestational diabetes?
Hyperglycemia
Hypoglycemia
Hyperthermia
Hypothermia
Question 4: How do insulin needs typically change throughout pregnancy for women with GDM?
Remain stable throughout pregnancy
Gradually increase as pregnancy progresses
Decrease in later trimesters
Fluctuate randomly
Question 5: What does macrosomia refer to in the context of GDM?
Low birth weight
Excessive fetal size
Delayed lung development
Premature birth
Question 6: Which test is specifically used to evaluate fetal lung maturity in GDM pregnancies?
Biophysical profile
Lecithin-sphingomyelin ratio
Nonstress test
Fetal kick counts
Question 7: What should a client with GDM eat before exercise?
Nothing
Complex carbohydrate snack
Simple sugar
Protein only
Question 8: What is the primary goal of GDM management?
Significant maternal weight loss
Tight glucose control
Avoiding all exercise
Maximizing weight gain
Question 9: Which monitoring method is used to assess fetal size and amniotic fluid volume?
Fetal kick counts
Ultrasound
Blood glucose monitoring
Urine testing
Question 10: What long-term risk does GDM pose for the mother?
Decreased bone density
Future Type 2 diabetes
Improved insulin sensitivity
Lower blood pressure
Question 11: Which maternal infection is more common in GDM pregnancies?
Common cold
Urinary tract infections
Ear infections
Strep throat
Question 12: What is the correct angle for insulin injection?
45 degrees
90 degrees
30 degrees
60 degrees
Question 13: Which pregnancy complication increases the risk of premature labor in GDM?
Low blood pressure
Polyhydramnios
Low amniotic fluid
Maternal weight loss
Question 14: How frequently should blood glucose monitoring typically occur for GDM patients?
Once daily
4-7 times daily
Weekly
Twice daily
Question 15: Which medication is typically contraindicated during pregnancy for women with pre-existing Type 2 diabetes?
Regular insulin
Oral hypoglycemic agents
NPH insulin
Rapid-acting insulin