Following an oral glucose tolerance, a 36-year-old mother of four ...

[nenivikky]

Following an oral glucose tolerance, a 36-year-old mother of four has been diagnosed with gestational diabetes mellitus (GDM), a problem that was not present in any of her previous pregnancies.
 
  What should her primary care provider tell her about this new health problem?
  A)
  This diabetes is unlikely to persist after you give birth, but the main risk is that your baby will likely be born with diabetes.
  B)
  Your baby could become too large or have low blood sugars if we're not vigilant about controlling your sugars.
  C)
  We'll monitor this closely and begin insulin therapy as soon as possible.
  D)
  This is likely a result of your liver releasing too much fat, rather than your pancreas not secreting insulin.

Question 2

A patient has just been admitted to a nursing unit with the diagnosis of obstructive jaundice. Which of the following assessment findings would the nurse expect to see in this patient? Select all that apply.
 
  A)
  Clay-colored stools
  B)
  Dark urine
  C)
  Elevated conjugated bilirubin levels
  D)
  Decreased serum alkaline phosphatase levels
  E)
  Severe itching

[jessicaduplan]

Answer to Question 1

Ans:
B

Feedback:

Women with GDM are at higher risk for complications of pregnancy, mortality, and fetal abnormalities. Fetal abnormalities include macrosomia, hypoglycemia, hypocalcemia, polycythemia, and hyperbilirubinemia. GDM often persists as type 2 diabetes after delivery, and the baby does not face a significantly higher risk of developing diabetes. Nutrition therapy would precede insulin therapy, and GDM involves a pancreatic etiology.

Answer to Question 2

Ans:
A, B, C, E

Feedback:

Obstructive jaundice occurs when bile flow is obstructed between the liver and the intestine. Among the causes are strictures of the bile duct, gallstones, and tumors of the bile duct or the pancreas. Conjugated bilirubin levels usually are elevated; the stools are clay colored; the urine is dark; the levels of serum alkaline phosphatase are markedly elevated; and the aminotransferase levels are slightly increased. The accumulation of bile acids in the blood leads to the development of pruritus (itching).