Author Question: Preconception counseling is critical to the outcome of diabetic pregnancy because poor glycemic ... (Read 49 times)

EAugust · **on:** Jun 27, 2018

Preconception counseling is critical to the outcome of diabetic pregnancy because poor glycemic control before and during early pregnancy is associated with:

1. frequent episodes of maternal hypoglycemia.
2. congenital anomalies in the fetus.
3. polyhydramnios.
4. hyperemesis gravidarum.

Question 2

A woman at 10 weeks of gestation who is seen in the prenatal clinic with presumptive signs and symptoms of pregnancy will likely have which of the following?

1. Amenorrhea
2. A positive pregnancy test
3. Chadwick sign
4. Hegar sign

Gabe · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
1. Incorrect. Frequent episodes of maternal hypoglycemia may occur during the first tri-mester (not before conception) as a result of hormone changes and the effects on insulin production and usage.
2. Correct. Preconception counseling is particularly important because strict metabolic control before conception and in the early weeks of gestation is instrumental in decreasing the risks of congenital anomalies.
3. Incorrect. Hydramnios occurs about 10 times more often in diabetic than in nondiabetic pregnancies. Typically, this is seen in the third trimester of pregnancy.
4. Incorrect. Hyperemesis gravidarum may exacerbate hypoglycemic events because the decreased food intake by the mother and glucose transfer to the fetus contribute to hypogly-cemia.

Answer to Question 2

1
1. Correct. Amenorrhea is a presumptive sign of pregnancy. Presumptive signs of pregnancy are those felt by the woman.
2. Incorrect. A positive pregnancy test would be probable sign of pregnancy.
3. Incorrect. The presence of Chadwick sign would be a probable sign of pregnancy.
4. Incorrect. The presence of Hegar sign would be a probable sign of pregnancy.