Gestational Diabetes There are 25 questions on this test.  A score of 80% is required to be successful;  no more than 5 questions may be incorrect.  Good Luck!! Questions #26 through #32 are your evaluation questions of this learning activity. The Program Evaluation must be completed to receive credit.  Thank you. First name:   Last name:   Credentials   Email address   Hosptial Name   Street Address   City, State, Zip   Phone   1 Current data suggests approximately 5% of all pregnant women are diagnosed with gestational diabetes each year. True False 2 Diabetes during pregnancy is a contributor to perinatal mortality. True False 3 Of those women diagnosed with gestational diabetes, almost 1/2 will develop Type 2 diabetes following the pregnancy. True False 4 Gestational diabetes is: Glucose intolerance related to excess intake Glucose intolerance related to pancreatic insufficiency Carbohydrate intolerance related to insulin resistance Carbohydrate intolerance related to pancreatic insufficiency 5 During normal glucose metabolism, it is the release of insulin that stimulates the entry of glucose into the body's cells. True False 6 While certain metabolic processess are altered during a pregnancy, alteration of glucose metabolism is not necessary. True False 7 Which of the following hormones is most influential on insulin resistance Estrogen Progesterone Human Placental Lactogen None of the above 8 As the pregnancy continues, insulin resistance decreases while insulin secretion increases True False 9 Gestational diabetes usually begins: Before the 20th week of pregnancy 20-24 weeks of the pregnancy 24-28 weeks of the pregnancy After the 28th week of pregnancy 10 Risk factors for developing gestational diabetes include: Family history, oligohydramnois, PIH Maternal age, oligohydramnios, Monilial vaginitis History of stillbirths, polyhydramnios, PIH All of the above None of the above 11 It is not uncommon for the woman with gestational diabetes to have an increased fundal height relative to weeks' of gestation True False 12 Presenting signs/symptoms of gestational diabetes may include: Ketonuria & glycosuria Increased appetite & urination Polyhydramnios & yeast infections 1 and 3 above All of the above 13 The American Diabetes Association recommends that women "at risk" for gestational diabetes have a Glucose Screening Test between  20-24 weeks' gestation. True False 14 A Glucose Tolerance Test fasting value of > 105 mg/dL and a 3 hour value of > 145 mg/dL is sufficient to make a definitive diagnosis of gestionsal diabetes. True False 15 Insulin and the oral glycemic, glyburide, are added when diet and exercise fail to stabilize the mother's blood sugar. True False 16 Which of the following types of insulin would you expect to be ordered for the pregnant  woman with gestational diabetes? Insuin Lente L IletinII, Regular Humulin N NPH None of the above 17 An incorrect type of insulin usage during prenancy may stimulate anti-insulin antibodies which can contribute to macrosomia in the fetus. True False 18 To verify no fetal compromise, a fetal movement (kick) count must document: 10 kicks in an hour 20 kicks in an hour 10 kicks in 2 hours 20 kicks in 2 hours 19 Women with insulin-dependent gestational diabetes will begin non-stress testing at 24-26 weeks' gestation. True False 20 A biophysical profile may be done: Instead of an NST As a backup to an NST Neither of the above Both of the above 21 A Biophysical profile is usually obtained 2 times a week. True False 22 Maternal sequelae of gestational diabetes may include: PIH & Pyelonephritis Miscarriage & Polyhydramnios Preterm labor & Operative delivery 1 and 3 above All of the above 23 Anticipated intrapartal maternal glucose levels are: 40-80 mg/dL 60-100 mg/dL 80-120 mg/dL 100-160 mg/dL 24 Intrapartal blood glucose managment includes: Monitor blood glucose hourly & Euglygemia 5% dextrose IV at 100 mL/hour , Side-lying position Ongoing, thorough maternal & fetal assessment 2 and 3 only All of the above 25 Routine post-partum postprandial glucose monitoring should be: Immediately after delivery and prior to discharge Day of delivery and daily therafter as ordered Day of discharge None is necessary following delivery 26 Discuss the pathophysiology of gestional diabetes Excellent Good Fair Poor 27 Identify women "at risk" for developing gestational diabetes Excellent Good Fair Poor 28 Recognize clinical presentation of gestational diabetes Excellent Good Fair Poor 29 Discuss the management of gestational diabetes Excellent Good Fair Poor 30 Discuss the effects of gestational diabetes on the fetus and neonate Excellent Good Fair Poor 31 Please select the amountof time that most closely represents the time you needed to complete this activity. 15--30 minutes 31--60 minutes 1--1½ hours 1½--2 hours 2--2½ hours 2½--3 hours or longer 32 General Comments/How will you use:

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