GESTATIONAL DIABETES NCLEX QUESTIONS WITH
100% CORRECT ANSWERS 2025.
1) You're teaching a pregnant mother with gestational diabetes about the signs and
_ _ _ _ _ _ _ _ _ _ _ _
symptoms of hyperglycemia. What are the signs and symptoms you will include in
_ _ _ _ _ _ _ _ _ _ _ _ _
your education to the patient? Select all that apply:
_ _ _ _ _ _ _ _
A. Sweating
B. Confusion
C. Frequent hunger _
D. Polydipsia
E. Anxiety
F. Frequent urination -- Correct Answer ✔✔ The answers are C, D, and F.
_ _ _ _ _ _ _ _ _ _ _ _ _
Remember the 3 Ps for hyperglycemia: Polyphagia (frequent hunger), _ _ _ _ _ _ _ _ _
polydipsia (frequent thirst), polyuria (frequent urination). Sweating,
_ _ _ _ _ _ _
confusion, and anxiety are signs and symptoms of Hypoglycemia (low blood
_ _ _ _ _ _ _ _ _ _
glucose). _
2) When are most pregnant patients tested for gestational diabetes?
_ _ _ _ _ _ _ _
A. 6-12 weeks gestation _ _
B. 12-20 weeks gestation _ _
C. 24-28 weeks gestation _ _
D. 34-36 week gestation -- Correct Answer ✔✔ The answer is C: 24-28
_ _ _ _ _ _ _ _ _ _ _ _
weeks gestation _
3) A 36-year-old pregnant female is diagnosed with gestational diabetes at 28 weeks
_ _ _ _ _ _ _ _ _ _ _ _
gestation. You're educating the patient about this condition. Which statement by
_ _ _ _ _ _ _ _ _ _ _
the patient demonstrates they understood your teaching about gestational
_ _ _ _ _ _ _ _ _
diabetes?
A. "Once I deliver the baby, it will go away, and I will not need any further
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
testing."
B. "It is important I try to get my fasting blood glucose around 70-95 mg/dL
_ _ _ _ _ _ _ _ _ _ _ _ _ _
and <140 mg/dL 1 hour after meals."
_ _ _ _ _ _
, C. "There are no risks or complications related to gestational diabetes other
_ _ _ _ _ _ _ _ _ _ _
than hyperglycemia." _
D. "I'm at risk for delivering a baby that is too small for its gestational age due
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
to this condition." -- Correct Answer ✔✔ The answer is B. This is the only
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
correct statement in the scenario. It is important the mother monitors her
_ _ _ _ _ _ _ _ _ _ _ _
blood glucose level regularly and tries to maintain an euglycemic level
_ _ _ _ _ _ _ _ _ _ _
(normal blood glucose level): 70-95 mg/dL fasting and <140 mg/dL 1 hour
_ _ _ _ _ _ _ _ _ _ _ _
after meals. In most cases, once the baby is delivered, the gestational
_ _ _ _ _ _ _ _ _ _ _ _
diabetes will disappear, BUT at 6-12 weeks postpartum the mother will
_ _ _ _ _ _ _ _ _ _ _
need to be reassessed for diabetes. Remember in the lecture, according to
_ _ _ _ _ _ _ _ _ _ _ _
the CDC.gov 50% of women who are diagnosed with gestational diabetes
_ _ _ _ _ _ _ _ _ _ _
will develop Type 2 diabetes later on. There are risks and complications
_ _ _ _ _ _ _ _ _ _ _ _
associated with gestational diabetes such as pre-term labor, preeclampsia,
_ _ _ _ _ _ _ _ _
hyper/hypoglycemia, macrosomia (large baby), hypoglycemia in baby at _ _ _ _ _ _ _ _
birth etc. _
4) Fill-in the blank: When a woman develops gestational diabetes it is during a time in
_ _ _ _ _ _ _ _ _ _ _ _ _ _
_the pregnancy when insulin sensitivity is _____________. This is majorly
_ _ _ _ _ _ _ _ _ _
influenced by hormones such as estrogen, progesterone, _______________ and
_ _ _ _ _ _ _ _ _
_______________.
A. high; prolactin and human chorionic gonadotropin (hCG)
_ _ _ _ _ _
B. low; estriol and human placental lactogen (hPL)
_ _ _ _ _ _
C. high; human chorionic gonadotropin (hCG) and cortisol
_ _ _ _ _ _
D. low; human placental lactogen (hPL) and cortisol -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _
The answer is D. The statement should read: When a woman develops
_ _ _ _ _ _ _ _ _ _ _ _
gestational diabetes it is during a time in the pregnancy when insulin _ _ _ _ _ _ _ _ _ _ _ _
sensitivity is LOW. This is majorly influenced by hormones such as _ _ _ _ _ _ _ _ _ _ _
estrogen, progesterone, HUMAN PLACENTAL LACTOGEN (hPL) and _ _ _ _ _ _ _
CORTISOL.
5) Your patient is 36 weeks pregnant and has gestational diabetes. Which lab result
_ _ _ _ _ _ _ _ _ _ _ _ _
below is euglycemic?
_ _
A. Blood glucose 55 mg/dL _ _ _
B. Blood glucose 82 mg/dL _ _ _
C. Blood glucose 148 mg/dL _ _ _
D. Blood glucose 325 mg/dL -- Correct Answer ✔✔ The answer is B.
_ _ _ _ _ _ _ _ _ _ _ _
Euglycemic means "normal" blood glucose level. Typically a normal blood _ _ _ _ _ _ _ _ _ _
100% CORRECT ANSWERS 2025.
1) You're teaching a pregnant mother with gestational diabetes about the signs and
_ _ _ _ _ _ _ _ _ _ _ _
symptoms of hyperglycemia. What are the signs and symptoms you will include in
_ _ _ _ _ _ _ _ _ _ _ _ _
your education to the patient? Select all that apply:
_ _ _ _ _ _ _ _
A. Sweating
B. Confusion
C. Frequent hunger _
D. Polydipsia
E. Anxiety
F. Frequent urination -- Correct Answer ✔✔ The answers are C, D, and F.
_ _ _ _ _ _ _ _ _ _ _ _ _
Remember the 3 Ps for hyperglycemia: Polyphagia (frequent hunger), _ _ _ _ _ _ _ _ _
polydipsia (frequent thirst), polyuria (frequent urination). Sweating,
_ _ _ _ _ _ _
confusion, and anxiety are signs and symptoms of Hypoglycemia (low blood
_ _ _ _ _ _ _ _ _ _
glucose). _
2) When are most pregnant patients tested for gestational diabetes?
_ _ _ _ _ _ _ _
A. 6-12 weeks gestation _ _
B. 12-20 weeks gestation _ _
C. 24-28 weeks gestation _ _
D. 34-36 week gestation -- Correct Answer ✔✔ The answer is C: 24-28
_ _ _ _ _ _ _ _ _ _ _ _
weeks gestation _
3) A 36-year-old pregnant female is diagnosed with gestational diabetes at 28 weeks
_ _ _ _ _ _ _ _ _ _ _ _
gestation. You're educating the patient about this condition. Which statement by
_ _ _ _ _ _ _ _ _ _ _
the patient demonstrates they understood your teaching about gestational
_ _ _ _ _ _ _ _ _
diabetes?
A. "Once I deliver the baby, it will go away, and I will not need any further
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
testing."
B. "It is important I try to get my fasting blood glucose around 70-95 mg/dL
_ _ _ _ _ _ _ _ _ _ _ _ _ _
and <140 mg/dL 1 hour after meals."
_ _ _ _ _ _
, C. "There are no risks or complications related to gestational diabetes other
_ _ _ _ _ _ _ _ _ _ _
than hyperglycemia." _
D. "I'm at risk for delivering a baby that is too small for its gestational age due
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
to this condition." -- Correct Answer ✔✔ The answer is B. This is the only
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _
correct statement in the scenario. It is important the mother monitors her
_ _ _ _ _ _ _ _ _ _ _ _
blood glucose level regularly and tries to maintain an euglycemic level
_ _ _ _ _ _ _ _ _ _ _
(normal blood glucose level): 70-95 mg/dL fasting and <140 mg/dL 1 hour
_ _ _ _ _ _ _ _ _ _ _ _
after meals. In most cases, once the baby is delivered, the gestational
_ _ _ _ _ _ _ _ _ _ _ _
diabetes will disappear, BUT at 6-12 weeks postpartum the mother will
_ _ _ _ _ _ _ _ _ _ _
need to be reassessed for diabetes. Remember in the lecture, according to
_ _ _ _ _ _ _ _ _ _ _ _
the CDC.gov 50% of women who are diagnosed with gestational diabetes
_ _ _ _ _ _ _ _ _ _ _
will develop Type 2 diabetes later on. There are risks and complications
_ _ _ _ _ _ _ _ _ _ _ _
associated with gestational diabetes such as pre-term labor, preeclampsia,
_ _ _ _ _ _ _ _ _
hyper/hypoglycemia, macrosomia (large baby), hypoglycemia in baby at _ _ _ _ _ _ _ _
birth etc. _
4) Fill-in the blank: When a woman develops gestational diabetes it is during a time in
_ _ _ _ _ _ _ _ _ _ _ _ _ _
_the pregnancy when insulin sensitivity is _____________. This is majorly
_ _ _ _ _ _ _ _ _ _
influenced by hormones such as estrogen, progesterone, _______________ and
_ _ _ _ _ _ _ _ _
_______________.
A. high; prolactin and human chorionic gonadotropin (hCG)
_ _ _ _ _ _
B. low; estriol and human placental lactogen (hPL)
_ _ _ _ _ _
C. high; human chorionic gonadotropin (hCG) and cortisol
_ _ _ _ _ _
D. low; human placental lactogen (hPL) and cortisol -- Correct Answer ✔✔
_ _ _ _ _ _ _ _ _ _ _
The answer is D. The statement should read: When a woman develops
_ _ _ _ _ _ _ _ _ _ _ _
gestational diabetes it is during a time in the pregnancy when insulin _ _ _ _ _ _ _ _ _ _ _ _
sensitivity is LOW. This is majorly influenced by hormones such as _ _ _ _ _ _ _ _ _ _ _
estrogen, progesterone, HUMAN PLACENTAL LACTOGEN (hPL) and _ _ _ _ _ _ _
CORTISOL.
5) Your patient is 36 weeks pregnant and has gestational diabetes. Which lab result
_ _ _ _ _ _ _ _ _ _ _ _ _
below is euglycemic?
_ _
A. Blood glucose 55 mg/dL _ _ _
B. Blood glucose 82 mg/dL _ _ _
C. Blood glucose 148 mg/dL _ _ _
D. Blood glucose 325 mg/dL -- Correct Answer ✔✔ The answer is B.
_ _ _ _ _ _ _ _ _ _ _ _
Euglycemic means "normal" blood glucose level. Typically a normal blood _ _ _ _ _ _ _ _ _ _
