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Maternal test 2 sherpath Questions and Answers
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Maternal test 2 sherpath Questions and AnswersWhich statement made by the woman to the nurse demonstrates her understanding of her
gestational diabetes mellitus (GDM) diagnosis?
Select all that apply.
"I can only control my GDM through insulin."
"My diagnosis of GDM will last through the baby's delivery."
"GDM can occur because pregnancy reduces my glucose sensitivity."
"A diagnosis of GDM means I could develop type 2 diabetes in 10-20 years."
"Because I have been diagnosed with GDM, I will be diagnosed with preeclampsia too." -
answer"My diagnosis of GDM will last through the baby's delivery."
This woman understands that a diagnosis of GDM is related to the baby's gestation and will end
when the gestation ends.
"GDM can occur because pregnancy reduces my glucose sensitivity."
This woman understands that her baby is drawing glucose from her blood and is thus lowering her
glucose sensitivity.
"A diagnosis of GDM means I could develop type 2 diabetes in 10-20 years."
,This woman understands that a diagnosis of GDM increases her risk of developing type 2 diabetes
mellitus later in life.
Which metabolic action is responsible for earlier gluconeogenesis in pregnant women?
Destruction of erythrocytes increases bilirubin
Placental hormones lead to impaired healing in the mother
Fetus continually withdraws nutrients from maternal blood
Protein cannot be excreted from the kidneys during pregnancy - answerFetus continually
withdraws nutrients from maternal blood
During pregnancy, fetus withdraws nutrients from maternal blood, causing release of glucose from
stores in the liver.
How would the nurse determine that the mother's body cannot metabolize glucose?
Urine positive for blood
Urine positive for bacteria
Urine positive for ketones
Urine positive for white blood cells - answerUrine positive for ketones
Ketones in urine indicate breakdown of muscle tissue for energy when glucose cannot be
metabolized by body cells.
,Which assessment finding would be expected for a newborn whose mother was diagnosed with
gestational diabetes?
Select all that apply.
Hyperactive reflexes
Weight of 4850 g
Serum glucose of 37 mg/dL
Calcium concentration of 8.5 mg/dL
Axillary temperature of 95.9 degrees Fahrenheit - answerWeight of 4850 g
Fetal size greater than 4000 g is an indication of macrosomia, an effect in fetuses related to
gestational diabetes.
Serum glucose of 37 mg/dL
Serum glucose levels are likely to be decreased (hypoglycemia) in a fetus of a mother with
gestational diabetes. Normal newborn glucose levels are between 45-60 mg/dL.
Axillary temperature of 95.9 degrees Fahrenheit
An axillary temperature of 97.2 degree F is low and a symptom of hypoglycemia in newborns.
Because this infant has low blood glucose, energy is consumed to maintain normal metabolic
function, causing temperatures to decrease.
A nursing instructor asks a nursing student to describe manifestations of hypoglycemia exhibited
by the newborn. The student responds correctly by telling the instructor about which signs and
symptoms?
, Select all that apply.
Eyes open to painful stimuli
Hands and feet appear bluish
Extremities in the flexed position
Respiratory rate of 16 breaths/minute
Axillary temperature 97.2 degrees Fahrenheit - answerEyes open to painful stimuli
Lethargy, exhibited by a newborn's eyes remaining open to painful stimuli, is a symptom of
hypoglycemia in newborns.
Respiratory rate of 16 breaths/minute
A respiratory rate of 16 breaths per minute represents depressed respiration and is a symptom of
hypoglycemia in newborns.
Axillary temperature 97.2 degrees Fahrenheit
An axillary temperature of 97.2 degrees Fahrenheit is low and a symptom of hypoglycemia in
newborns.
Match the maternal effect of altered glucose metabolism with its description.
Delayed or difficult birth of fetal shoulders after head is born Excess volume of amniotic fluid
Body uses fat for energy instead of glucose
Ketoacidosis
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