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26 Cards in this Set
- Front
- Back
What % of pregnancies are complicated with GDM?
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4%
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True or False: GDM is more likely to occur in hispanic, native american, asian or african americans.
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True
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When are most women diagnosed with GDM?
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2nd and 3rd trimester when fetal nutrion demands rise, maternal insulin resistance is increased, and maternal insulin demands rise 3x
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The woman is flushed, skin is hot she has dry mouth and is excessively thirsty, having rapid deep inspirations what is she exhibiting signs of?
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Hyperglycemia
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The woman is showing signs of hypoglycemia what would you expect her blood glucose to be?
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less than 60 mg/dl
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The woman is having shallow respirations, cold and clammy skin, disoriented, with blurry vision what are these symptoms typical of:
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hypoglycemia
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why does insulin resistance increase?
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insulin antagonistic effects of the placental hormones- cortisol and insulinase.
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if the woman is diagnosed in the first trimester with GDM what is the main concern?
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because the fetus is in critical period of organogenisis congenital anomolies may occur
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2 major risks of GDM are:
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hypertensive disorders- risk doubles
fetal macrosomia- cesarian, shoulder dystocia and birth trauma. |
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Fasting glucose is normal but GTT- glucose tolerance test is abnormal. how do you treat the condition?
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diet
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Abnormal GTT and elevated fasting glucose is controlled by:
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insulin
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GTT in a low risk woman is done at -----weeks of gestation
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24-28
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The neonate is at increased risk for what further complications?
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hypoglycemia, hypocalcemia, hyperbilirubinemia, thrombocytopenia,polycythemia and respiratory distress syndrome
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For the avg woman the glucola test consists of and does the woman have to be fasting?
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50 g oral glucose load followed by plasma glucose determination 1 hour later.
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what is a positive glucola test?
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over 140 mg/dl
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T or F: the 3hour OGTT (oral glucose tolerance test) is given routinely at the 24th week office visit.
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False: only if the 1hour test is positive. the 3 hour test is given after a 12hour fast and after 3 days of unrestricted diet.
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what may give the test a false positive?
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caffiene intake
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How many of the values have to meet or exceed 'normal' for diagnosis of GDM?
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2 of the 4 values have to meet or exceed the norm
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The goal of therapy for woman with GDM is strict blood glucose control. what are acceptable levels?
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fasting less than 105 mg/dl
2 hrs post-prandial less than 120 mg/dl |
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what is the diabetic diet?
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30-35 kcal/kg of present preg. weight- 2000-2500/day. careful choices of what those calories consist of.
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T or F: exercise is instrumental in lowering blood glucose and eliminating need for insulin.
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True
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how often should Blood glucose monitoring happen in woman diagnosed with GDM?
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At least weekly.
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What special tests for fetal monitoring are done if mother is on insulin or has other complications such as hypertension or previous still birth?
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non-stress test and biophysical profile weekly
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during labor and delivery how often is blood glucose level checked? what should it be?
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every 2 hours, less than 100mg/dl to minimize risk of hypoglycemia in neonate
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when can woman be assessed for glucose levels post-partum?
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4-6 weeks or after breastfeeding has stopped.
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what is the percentage of recurrance for GDM?
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50%
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