Nm706 module 5 questions with correct answers

Gestational Diabetes Physiology Answer -Carbohydrate intolerance with onset during pregnancy. Pregnancy hormones makes mother less resistant to insulin (placenta-hCG). High blood glucose levels in mother brings extra glucose to baby and causes baby to put on extra weight. Baby is not resistant to glucose. Hyperglycemia causes an LGA baby Gestational Diabetes Incidence Answer 6-9% of all pregnancies affected. Ethnicity increases risk: African American, Native American, Asian, Hispanic/Latino at greater risk for GDM then whites. Hispanics/Latinos 1.5% higher than while Caucasian. Gestational Diabetes Risk Factors Answer -Unmodifiable Risk Factors: age (maternal age older), ethnicity (Hispanic, African American, Latino's, native Americans/pacific islanders), medical hx of abnormal glucose PCOS, HPTN, family hx 1st degree relative, significant ob hx with past GDM that had adverse outcomes associated with condition. -Modifiable Risk Factors: weight gain, pre-pregnancy elevated BMI, early adulthood excessive weight gain, gestational weight gain during pregnancy, excessive weight gain between pregnancies, significant family hx of DM, heavy infant weights, abnormal glucose intolerance, obesity, glucose intolerance, BMI ACOG Early Screening Criteria For Gestational Diabetes Answer Consider testing if overweight or obese (BMI 25, Asian 23) and one or more of the following factors: physical inactivity, 1st degree relative with DM, high risk race or ethnicity (AA,LATINO, Native American, Pacific Islander, Asian American), history of infant 4000 grams (about 9 lbs), HX GDM, hypertension, HDL 35 mg/dL, triglyceride levels 250, polycystic ovary syndrome, HBA1c 5.7, impaired glucose tolerance, other clinical