Midwifery | High-Yield Practice Set: Fully Solved Exam
Scenarios with 100% score Guarantee 2024/2025
When is screening for gdm done? - correct answer 24-28 weeks
One-hour gtt
What is the range that is considered positive? - correct answer 130-
140mg/dl
Nddg criteria for gdm 3-hour gtt
Carpenter & coustain criteria - correct answer 105-190-165-145
95-180-155-140
Postpartum care for gdm
What gtt is recommended and when?
What are these patients at higher risk of? - correct answer gdm should
resolve after delivery
6 week 75g 2-hour gtt recommended (hba1c not recommended)
Higher risk for: postpartum hemorrhage, depression, and subsequent type
2 diabetes
Fetal exams in gdm
3rd trimester tests - correct answer anatomy scan, size, fht, blood flow w/
doppler,
Nst, bpp, afi, estimated fetal weight (although not reliable for macrosomia)
Maternal education for gdm
Meds for gdm management - correct answer diet
Exercise
,Checking bg 4x daily--keep journal
Glyburide
Moa: increases insulin secretion, does not cross placenta
Starting dose: 2.5mg, am/pm, then increase one to 5 mg, then am/pm both
5 mg. Max dose: 10 mg
Metformin
Moa: decreases glucose secretion, crosses placenta
Injectable insulin
Glucose ranges for at home bg checks
Fasting
1 hour postprandial
2 hour postprandial
2am-6am - correct answer fasting: <95
1 hour postprandial: <130
2 hour postprandial: <120
2am-6am: <60
Macrosomia is defined as--
___________ in nondiabetic mothers
___________ in diabetic mothers
How big is the abdominal circumference in macrosomic babies?
When should growth u/s be performed? - correct answer >4500g
, >4000g
>35cm
Every 3-4 weeks and include afv
Functions of amniotic fluid - correct answer cushions the baby from
trauma
Allows for movement
Prevents cord compression
Antibacterial properties
Allows for lung maturation and development
Msk and gi development
Constant temperature
Prevents adhesions
Baby swallows fluid and then urinates--constant volume
During labor:
Helps with cervical dilation
Washing mechanism--helps baby come out
Helps prevent placenta compression between wall and fetus
Oligohydramnios defined as--
Afv?
Dvp?
Afi? - correct answer afv: less than or equal to 200-500 ml
Dvp: less than or equal to 2 cm
Scenarios with 100% score Guarantee 2024/2025
When is screening for gdm done? - correct answer 24-28 weeks
One-hour gtt
What is the range that is considered positive? - correct answer 130-
140mg/dl
Nddg criteria for gdm 3-hour gtt
Carpenter & coustain criteria - correct answer 105-190-165-145
95-180-155-140
Postpartum care for gdm
What gtt is recommended and when?
What are these patients at higher risk of? - correct answer gdm should
resolve after delivery
6 week 75g 2-hour gtt recommended (hba1c not recommended)
Higher risk for: postpartum hemorrhage, depression, and subsequent type
2 diabetes
Fetal exams in gdm
3rd trimester tests - correct answer anatomy scan, size, fht, blood flow w/
doppler,
Nst, bpp, afi, estimated fetal weight (although not reliable for macrosomia)
Maternal education for gdm
Meds for gdm management - correct answer diet
Exercise
,Checking bg 4x daily--keep journal
Glyburide
Moa: increases insulin secretion, does not cross placenta
Starting dose: 2.5mg, am/pm, then increase one to 5 mg, then am/pm both
5 mg. Max dose: 10 mg
Metformin
Moa: decreases glucose secretion, crosses placenta
Injectable insulin
Glucose ranges for at home bg checks
Fasting
1 hour postprandial
2 hour postprandial
2am-6am - correct answer fasting: <95
1 hour postprandial: <130
2 hour postprandial: <120
2am-6am: <60
Macrosomia is defined as--
___________ in nondiabetic mothers
___________ in diabetic mothers
How big is the abdominal circumference in macrosomic babies?
When should growth u/s be performed? - correct answer >4500g
, >4000g
>35cm
Every 3-4 weeks and include afv
Functions of amniotic fluid - correct answer cushions the baby from
trauma
Allows for movement
Prevents cord compression
Antibacterial properties
Allows for lung maturation and development
Msk and gi development
Constant temperature
Prevents adhesions
Baby swallows fluid and then urinates--constant volume
During labor:
Helps with cervical dilation
Washing mechanism--helps baby come out
Helps prevent placenta compression between wall and fetus
Oligohydramnios defined as--
Afv?
Dvp?
Afi? - correct answer afv: less than or equal to 200-500 ml
Dvp: less than or equal to 2 cm
