A nurse in the perinatal clinic explains to a student nurse that ...

[colton]

A nurse in the perinatal clinic explains to a student nurse that which of the following patients are at highest risk of developing gestational diabetes? (Select all that apply.)
 
  A.
  A17-year-old in her second pregnancy
  B.
  A 24-year-old pregnant woman with placenta previa
  C.
  A 32-year-old woman with a BMI of 40
  D.
  A woman whose first baby weighed 10.5 lb (4.7 kg)
  E.
  A woman whose mother and sister had gestational diabetes

Question 2

The perinatal nurse describes risk factors for placenta previa to the student nurse. Which of the following risk factors does the nurse include? (Select all that apply.)
 
  A.
  Cocaine use
  B.
  Previous cesarean birth
  C.
  Previous use of medroxyprogesterone (Depo-Provera)
  D.
  Tobacco use
  E.
  Young maternal age

[cam1229]

Answer to Question 1

ANS: C, D, E
The risk factors for developing gestational diabetes include age older than 25; obesity; insulin resistance; polycystic ovary syndrome; history of pregnancy-related diabetes mellitus; history of a large-for-gestational age infant; hydramnios, stillbirth, miscarriage, or an infant with congenital anomalies during a previous pregnancy; family history of type 2 diabetes (first-degree relative); and ethnicity. Being young does not confer additional risk, nor does placenta previa. The 32-year-old is obese, the 10.5-lb baby is large for gestational age, and the mother and sister are first-degree relatives.

Answer to Question 2

ANS: A, B, D
Placenta previa may be associated with conditions that cause scarring of the uterus such as prior cesarean birth, multiparity, or increased maternal age. Placenta previa may also occur with a large placental mass, as seen in multiple gestations and erythroblastosis. Other risk factors for placenta previa include smoking, cocaine use, a prior history of placenta previa, closely spaced pregnancies, African or Asian ethnicity, and maternal age greater than 35 years