In terms of the incidence and classification of diabetes, ...

[s.tung]

In terms of the incidence and classification of diabetes, maternity nurses should know that
 
  a. Type 1 diabetes is most common.
  b. Type 2 diabetes often goes undiagnosed.
  c. There is only one type of gestational diabetes.
  d. Type 1 diabetes may become type 2 during pregnancy.

Question 2

Screening at 24 weeks of gestation reveals that a pregnant woman has gestational diabetes mellitus (GDM). In planning her care, the nurse and the woman mutually agree that an expected outcome is to prevent injury to the fetus as a result of GDM.
 
  The nurse identifies that the fetus is at greatest risk for a. Macrosomia
  b. Congenital anomalies of the central nervous system
  c. Preterm birth
  d. Low birth weight

[cici]

Answer to Question 1

B
Feedback
A Type 2, sometimes called adult onset diabetes, is the most common.
B Type 2 often goes undiagnosed, because hyperglycemia develops gradually and
often is not severe.
C There are 2 subgroups of gestational diabetes. Type GDM A1 is diet-controlled
whereas Type GDM A2 is controlled by insulin and diet.
D People do not go back and forth between type 1 and type 2 diabetes.

Answer to Question 2

A
Feedback
A Poor glycemic control later in pregnancy increases the rate of fetal macrosomia.
B Poor glycemic control during the preconception time frame and into the early
weeks of the pregnancy is associated with congenital anomalies.
C Preterm labor or birth is more likely to occur with severe diabetes and is the
greatest risk in women with pregestational diabetes.
D Increased weight, or macrosomia, is the greatest risk factor for this woman.

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