Maternal Test 2 Sherpath Questions With
Complete Answers
Which statement made by the woman to the nurse demonstrates her
understanding of her gestational diabetes mellitus (GDM) diagnosis?
Select all that apply.
"I can only control my GDM through insulin."
"My diagnosis of GDM will last through the baby's delivery."
"GDM can occur because pregnancy reduces my glucose sensitivity."
"A diagnosis of GDM means I could develop type 2 diabetes in 10-20 years."
"Because I have been diagnosed with GDM, I will be diagnosed with
preeclampsia too." - ANSWER "My diagnosis of GDM will last through the baby's
delivery."
This woman understands that a diagnosis of GDM is related to the baby's
gestation and will end when the gestation ends.
"GDM can occur because pregnancy reduces my glucose sensitivity."
This woman understands that her baby is drawing glucose from her blood and is
thus lowering her glucose sensitivity.
"A diagnosis of GDM means I could develop type 2 diabetes in 10-20 years."
This woman understands that a diagnosis of GDM increases her risk of
developing type 2 diabetes mellitus later in life.
Which metabolic action is responsible for earlier gluconeogenesis in pregnant
women?
Destruction of erythrocytes increases bilirubin
Placental hormones lead to impaired healing in the mother
Fetus continually withdraws nutrients from maternal blood
,Protein cannot be excreted from the kidneys during pregnancy - ANSWER Fetus
continually withdraws nutrients from maternal blood
During pregnancy, fetus withdraws nutrients from maternal blood, causing
release of glucose from stores in the liver.
How would the nurse determine that the mother's body cannot metabolize
glucose?
Urine positive for blood
Urine positive for bacteria
Urine positive for ketones
Urine positive for white blood cells - ANSWER Urine positive for ketones
Ketones in urine indicate breakdown of muscle tissue for energy when glucose
cannot be metabolized by body cells.
Which assessment finding would be expected for a newborn whose mother was
diagnosed with gestational diabetes?
Select all that apply.
Hyperactive reflexes
Weight of 4850 g
Serum glucose of 37 mg/dL
Calcium concentration of 8.5 mg/dL
Axillary temperature of 95.9 degrees Fahrenheit - ANSWER Weight of 4850 g
Fetal size greater than 4000 g is an indication of macrosomia, an effect in
fetuses related to gestational diabetes.
Serum glucose of 37 mg/dL
Serum glucose levels are likely to be decreased (hypoglycemia) in a fetus of a
mother with gestational diabetes. Normal newborn glucose levels are between
45-60 mg/dL.
Axillary temperature of 95.9 degrees Fahrenheit
An axillary temperature of 97.2 degree F is low and a symptom of hypoglycemia
in newborns. Because this infant has low blood glucose, energy is consumed to
maintain normal metabolic function, causing temperatures to decrease.
,A nursing instructor asks a nursing student to describe manifestations of
hypoglycemia exhibited by the newborn. The student responds correctly by
telling the instructor about which signs and symptoms?
Select all that apply.
Eyes open to painful stimuli
Hands and feet appear bluish
Extremities in the flexed position
Respiratory rate of 16 breaths/minute
Axillary temperature 97.2 degrees Fahrenheit - ANSWER Eyes open to painful
stimuli
Lethargy, exhibited by a newborn's eyes remaining open to painful stimuli, is a
symptom of hypoglycemia in newborns.
Respiratory rate of 16 breaths/minute
A respiratory rate of 16 breaths per minute represents depressed respiration
and is a symptom of hypoglycemia in newborns.
Axillary temperature 97.2 degrees Fahrenheit
An axillary temperature of 97.2 degrees Fahrenheit is low and a symptom of
hypoglycemia in newborns.
Match the maternal effect of altered glucose metabolism with its description.
Delayed or difficult birth of fetal shoulders after head is born Excess volume of
amniotic fluid Body uses fat for energy instead of glucose
Ketoacidosis
Dystocia
Hydramnios - ANSWER Delayed or difficult birth of fetal shoulders after head is
born
Dystocia
Excess volume of amniotic fluid
Hydramnios
Body uses fat for energy instead of glucose
Ketoacidosis
Which statements indicate to the nurse that a pregnant woman is at risk for
development of ketoacidosis?
Select all that apply.
, "I avoid eating any type of red meat."
"I've had a cold for the last 2 weeks."
"My mother has had diabetes for 20 years."
"I can never remember to take my insulin."
"I only drink water with lemon when I'm thirsty." - ANSWER "I've had a cold for
the last 2 weeks."
Infection predisposes women to ketoacidosis.
I can never remember to take my insulin."
Missing doses of insulin predisposes women to ketoacidosis.
For which woman should a nurse schedule a 3-hr glucose tolerance test?
Fasting glucose of 90 mg/dL
3-hr fasting glucose of 95 mg/dL
Greater than 140 mg/dL reading from a glucose challenge test
Less than 120 mg/dL reading from a glucose challenge test - ANSWER Greater
than 140 mg/dL reading from a glucose challenge test
A reading greater than 140 mg/dL is considered abnormal and does warrant a 3-
hr glucose tolerance test.
Which statement made by a woman diagnosed with gestational diabetes
indicates to the nurse that the teaching about dietary practices was effective?
"If I feel like the baby's not moving a lot, I eat a candy bar."
"I have been eating three small meals and two snacks every day."
"I use my husband's diabetes pills when I run out of insulin."
"I know my baby needs extra sugar, so I have been eating only fruit." - ANSWER
"I have been eating three small meals and two snacks every day."
Calories should be distributed among three meals and 2 or more snacks.
A pregnant female was diagnosed with type 1 diabetes mellitus prior to
becoming pregnant. Which information should be included in patient teaching?
Select all that apply.
Complete Answers
Which statement made by the woman to the nurse demonstrates her
understanding of her gestational diabetes mellitus (GDM) diagnosis?
Select all that apply.
"I can only control my GDM through insulin."
"My diagnosis of GDM will last through the baby's delivery."
"GDM can occur because pregnancy reduces my glucose sensitivity."
"A diagnosis of GDM means I could develop type 2 diabetes in 10-20 years."
"Because I have been diagnosed with GDM, I will be diagnosed with
preeclampsia too." - ANSWER "My diagnosis of GDM will last through the baby's
delivery."
This woman understands that a diagnosis of GDM is related to the baby's
gestation and will end when the gestation ends.
"GDM can occur because pregnancy reduces my glucose sensitivity."
This woman understands that her baby is drawing glucose from her blood and is
thus lowering her glucose sensitivity.
"A diagnosis of GDM means I could develop type 2 diabetes in 10-20 years."
This woman understands that a diagnosis of GDM increases her risk of
developing type 2 diabetes mellitus later in life.
Which metabolic action is responsible for earlier gluconeogenesis in pregnant
women?
Destruction of erythrocytes increases bilirubin
Placental hormones lead to impaired healing in the mother
Fetus continually withdraws nutrients from maternal blood
,Protein cannot be excreted from the kidneys during pregnancy - ANSWER Fetus
continually withdraws nutrients from maternal blood
During pregnancy, fetus withdraws nutrients from maternal blood, causing
release of glucose from stores in the liver.
How would the nurse determine that the mother's body cannot metabolize
glucose?
Urine positive for blood
Urine positive for bacteria
Urine positive for ketones
Urine positive for white blood cells - ANSWER Urine positive for ketones
Ketones in urine indicate breakdown of muscle tissue for energy when glucose
cannot be metabolized by body cells.
Which assessment finding would be expected for a newborn whose mother was
diagnosed with gestational diabetes?
Select all that apply.
Hyperactive reflexes
Weight of 4850 g
Serum glucose of 37 mg/dL
Calcium concentration of 8.5 mg/dL
Axillary temperature of 95.9 degrees Fahrenheit - ANSWER Weight of 4850 g
Fetal size greater than 4000 g is an indication of macrosomia, an effect in
fetuses related to gestational diabetes.
Serum glucose of 37 mg/dL
Serum glucose levels are likely to be decreased (hypoglycemia) in a fetus of a
mother with gestational diabetes. Normal newborn glucose levels are between
45-60 mg/dL.
Axillary temperature of 95.9 degrees Fahrenheit
An axillary temperature of 97.2 degree F is low and a symptom of hypoglycemia
in newborns. Because this infant has low blood glucose, energy is consumed to
maintain normal metabolic function, causing temperatures to decrease.
,A nursing instructor asks a nursing student to describe manifestations of
hypoglycemia exhibited by the newborn. The student responds correctly by
telling the instructor about which signs and symptoms?
Select all that apply.
Eyes open to painful stimuli
Hands and feet appear bluish
Extremities in the flexed position
Respiratory rate of 16 breaths/minute
Axillary temperature 97.2 degrees Fahrenheit - ANSWER Eyes open to painful
stimuli
Lethargy, exhibited by a newborn's eyes remaining open to painful stimuli, is a
symptom of hypoglycemia in newborns.
Respiratory rate of 16 breaths/minute
A respiratory rate of 16 breaths per minute represents depressed respiration
and is a symptom of hypoglycemia in newborns.
Axillary temperature 97.2 degrees Fahrenheit
An axillary temperature of 97.2 degrees Fahrenheit is low and a symptom of
hypoglycemia in newborns.
Match the maternal effect of altered glucose metabolism with its description.
Delayed or difficult birth of fetal shoulders after head is born Excess volume of
amniotic fluid Body uses fat for energy instead of glucose
Ketoacidosis
Dystocia
Hydramnios - ANSWER Delayed or difficult birth of fetal shoulders after head is
born
Dystocia
Excess volume of amniotic fluid
Hydramnios
Body uses fat for energy instead of glucose
Ketoacidosis
Which statements indicate to the nurse that a pregnant woman is at risk for
development of ketoacidosis?
Select all that apply.
, "I avoid eating any type of red meat."
"I've had a cold for the last 2 weeks."
"My mother has had diabetes for 20 years."
"I can never remember to take my insulin."
"I only drink water with lemon when I'm thirsty." - ANSWER "I've had a cold for
the last 2 weeks."
Infection predisposes women to ketoacidosis.
I can never remember to take my insulin."
Missing doses of insulin predisposes women to ketoacidosis.
For which woman should a nurse schedule a 3-hr glucose tolerance test?
Fasting glucose of 90 mg/dL
3-hr fasting glucose of 95 mg/dL
Greater than 140 mg/dL reading from a glucose challenge test
Less than 120 mg/dL reading from a glucose challenge test - ANSWER Greater
than 140 mg/dL reading from a glucose challenge test
A reading greater than 140 mg/dL is considered abnormal and does warrant a 3-
hr glucose tolerance test.
Which statement made by a woman diagnosed with gestational diabetes
indicates to the nurse that the teaching about dietary practices was effective?
"If I feel like the baby's not moving a lot, I eat a candy bar."
"I have been eating three small meals and two snacks every day."
"I use my husband's diabetes pills when I run out of insulin."
"I know my baby needs extra sugar, so I have been eating only fruit." - ANSWER
"I have been eating three small meals and two snacks every day."
Calories should be distributed among three meals and 2 or more snacks.
A pregnant female was diagnosed with type 1 diabetes mellitus prior to
becoming pregnant. Which information should be included in patient teaching?
Select all that apply.
