RNC-OB Exam: Diabetes with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
Why may diabetics not require insulin post-delivery? ✔Correct Answer-Once the placenta is
delivered, the anti-insulin factor is now gone
Congenital abnormalities of maternal DM ✔Correct Answer-- Heart defects
- Neural tube defects
Risks of maternal DM ✔Correct Answer-- Fetal acidosis
- Miscarriage
- Stillbirth
- Vascular flow issues
- LGA
- Shoulder dystocia
- Polycythemia (born with high hematocrit)
- Fetal demise
- Fetal RDS
When should you induce well-controlled GDM with no complications? ✔Correct Answer-38-
39 weeks
Type I DM ✔Correct Answer-Insufficient insulin secretion
First Sign of Type I DM ✔Correct Answer-DKA
When is Type I DM normally diagnosed by? ✔Correct Answer-30 years old
Type I DM Treatment ✔Correct Answer-- Diet
- Exercise
- Insulin
Type II DM ✔Correct Answer-- Resistant to insulin action and insulin secretion
- Some insulin is produced but not enough
- Diagnosed later in life
Type II DM Treatment ✔Correct Answer-- Diet
- Exercise
- Oral meds
- Insulin (may/may not need insulin)
What passes the placenta with DM? ✔Correct Answer-Glucose (insulin does not)
, What is BG in DKA? ✔Correct Answer-> 250
What is BG in Non Ketosis? ✔Correct Answer-> 600
DKA ✔Correct Answer-- Metabolic acidosis
- Not enough insulin is available to take glucose to feed cells. Fat is broken down and ketones
become present.
- Fruity breath, kussmaul respirations
Kussmaul Respirations ✔Correct Answer-Rapid breathing
Non Ketosis ✔Correct Answer-- No acidosis
- No fruity breath or Kussmaul respirations
Treatment of DKA and Non Ketosis ✔Correct Answer-- IV fluid bolus (NS)
- IV insulin
- Worry about shock
What can IV insulin lead to? ✔Correct Answer-- Hypoglycemia
- Hypokalemia
S/S of Hypoglycemia ✔Correct Answer-- LOC changes
- Jittery/nervous
- Cold
- Clammy
- HA
- Tachycardia
Why does GDM occur? ✔Correct Answer-Demand for insulin production by maternal
pancreas increases 2-3 times more than normal
A1 GDM ✔Correct Answer-Diet controlled
A2 GDM ✔Correct Answer-Medication controlled
What does Maternal Hyperglycemia put baby at risk for? ✔Correct Answer-- Fetal morbidity
- Fetal hyperinsulinemia
Fetal Macrosomia ✔Correct Answer-> 4000 grams (8lb and 13 oz)
What maternal risks does GDM increase? ✔Correct Answer-- UTIs
- Polyhydramnios
- Abruption
Answers |Latest Version |Already Graded A+
Why may diabetics not require insulin post-delivery? ✔Correct Answer-Once the placenta is
delivered, the anti-insulin factor is now gone
Congenital abnormalities of maternal DM ✔Correct Answer-- Heart defects
- Neural tube defects
Risks of maternal DM ✔Correct Answer-- Fetal acidosis
- Miscarriage
- Stillbirth
- Vascular flow issues
- LGA
- Shoulder dystocia
- Polycythemia (born with high hematocrit)
- Fetal demise
- Fetal RDS
When should you induce well-controlled GDM with no complications? ✔Correct Answer-38-
39 weeks
Type I DM ✔Correct Answer-Insufficient insulin secretion
First Sign of Type I DM ✔Correct Answer-DKA
When is Type I DM normally diagnosed by? ✔Correct Answer-30 years old
Type I DM Treatment ✔Correct Answer-- Diet
- Exercise
- Insulin
Type II DM ✔Correct Answer-- Resistant to insulin action and insulin secretion
- Some insulin is produced but not enough
- Diagnosed later in life
Type II DM Treatment ✔Correct Answer-- Diet
- Exercise
- Oral meds
- Insulin (may/may not need insulin)
What passes the placenta with DM? ✔Correct Answer-Glucose (insulin does not)
, What is BG in DKA? ✔Correct Answer-> 250
What is BG in Non Ketosis? ✔Correct Answer-> 600
DKA ✔Correct Answer-- Metabolic acidosis
- Not enough insulin is available to take glucose to feed cells. Fat is broken down and ketones
become present.
- Fruity breath, kussmaul respirations
Kussmaul Respirations ✔Correct Answer-Rapid breathing
Non Ketosis ✔Correct Answer-- No acidosis
- No fruity breath or Kussmaul respirations
Treatment of DKA and Non Ketosis ✔Correct Answer-- IV fluid bolus (NS)
- IV insulin
- Worry about shock
What can IV insulin lead to? ✔Correct Answer-- Hypoglycemia
- Hypokalemia
S/S of Hypoglycemia ✔Correct Answer-- LOC changes
- Jittery/nervous
- Cold
- Clammy
- HA
- Tachycardia
Why does GDM occur? ✔Correct Answer-Demand for insulin production by maternal
pancreas increases 2-3 times more than normal
A1 GDM ✔Correct Answer-Diet controlled
A2 GDM ✔Correct Answer-Medication controlled
What does Maternal Hyperglycemia put baby at risk for? ✔Correct Answer-- Fetal morbidity
- Fetal hyperinsulinemia
Fetal Macrosomia ✔Correct Answer-> 4000 grams (8lb and 13 oz)
What maternal risks does GDM increase? ✔Correct Answer-- UTIs
- Polyhydramnios
- Abruption
