Which statement(s) regarding gestational diabetes would be true? ...

[CQXA]

Which statement(s) regarding gestational diabetes would be true? (Select all that apply.)
 
  a. It is diagnosed in about 2 of all pregnancies in the United States.
  b. It includes diabetic women who become pregnant.
  c. Fetal development may be complicated as a result of gestational diabetes.
  d. The risk of developing diabetes after pregnancy is increased.
  e. Most women with gestational diabetes have normal glucose tolerance postpartum.
  f. Women need to be reevaluated postpartum to determine their classification with respect to glucose tolerance.

Question 2

The nurse is educating a patient with diabetes mellitus regarding urine testing for ketones. Information provided will include that ketone testing should be done (Select all that apply.)
 
  a. when illness occurs.
  b. during pregnancy.
  c. before and after physical exercise.
  d. when blood glucose is above usual range.
  e. every morning upon awakening.

[kxciann]

Answer to Question 1

ANS: C, D, E, F
Gestational diabetic individuals are put into a separate category because of the special clinical features of diabetes that develop during pregnancy and the complications associated with fetal involvement. These women are also at a greater risk of developing diabetes 5 to 10 years after pregnancy. The majority of individuals with gestational diabetes have normal glucose tolerance postpartum. Gestational diabetes patients must be reclassified 6 weeks after delivery into one of the following categories: diabetes mellitus, impaired fasting glucose, impaired glucose tolerance, or normoglycemia. Gestational diabetes is diagnosed in about 4 of all pregnancies in the United States. Gestational diabetes does not include diabetic women who become pregnant.

Answer to Question 2

ANS: A, B, D
Ketone testing should be done when illness occurs, during pregnancy, and whenever blood glucose is elevated above the individual's usual range. It is not necessary to test urine for ketones before and after physical exercise or every morning upon awakening.

[CQXA]

Excellent

[kishoreddi]

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