HESI CASE STUDIES - GESTATIONAL DIABETES
(DANIELLE GREENE) QUESTIONS AND ANSWERS
UPDATED 2024/2025 ALL ANSWERS 100% CORRECT
VERIFIED BEST GRADED A+ FOR SUCCESS
The clinic nurse reviews Danielle's prenatal record prior to performing a nursing assessment.
Danielle has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton)
and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation.
How should the nurse record Danielle's obstetrical history using the G-T-P-A-L designation? -
CORRECT ANSWERS 5-2-1-1-4
Gravida (no. pregnancies, including current)
Term (after wk 37) {live and stillborn}
Preterm (between 20-37 wk) {live and stillborn}
Abortion (fetal loss, up to 20 weeks)
Living (all alive at time of interview)
Which information does the nurse recognize in the client's history to support a diagnosis of
gestational diabetes? - CORRECT ANSWERS Child weighed 9 lbs (4.08 kg) at 41 weeks'
gestation
Risk Factors:
- previous birth over 9 lbs
- maternal age > 25
- obesity
- hx. of unexplained stillborn
- fam hx of Type 1 diabetes in a first-degree relative
- strong fam hx of type 2 DM
- hx of gest diabetes.
Which instruction should the nurse give the client? - CORRECT ANSWERS Follow an
unrestricted diet and exercise pattern for at least 3 days before the test.
, HESI CASE STUDIES - GESTATIONAL DIABETES
(DANIELLE GREENE) QUESTIONS AND ANSWERS
UPDATED 2024/2025 ALL ANSWERS 100% CORRECT
VERIFIED BEST GRADED A+ FOR SUCCESS
this allows the test to be a true determination of the body's ability to handled the glucose
load given after the fasting BG is drawn.
The nurse's response should be based on the understanding of which normal physiologic
change of pregnancy? - CORRECT ANSWERS Hormonal changes in the second and third
trimesters result in increased maternal insulin resistance.
increased levels of H increase insulin resistance bc they act as insulin antagonists --> glucose-
sparing mechanism to ensure an adequate glucose supply to the fetus. Most pregnant
women can handle this insulin resistance, but gest diabetes cannot and demonstrate an
impaired tolerance to glucose during pregnancy --> hyperglycemia
Which response should the nurse give to the client?
Select all that apply - CORRECT ANSWERS "Hyperglycemia often presents as increased thirst
and urination."
"Hyperglycemia causes a headache and flushed, dry skin."
Which responses should the nurse give to the client? - CORRECT ANSWERS Choose complex
carbohydrates that are high in fiber content.
Avoid foods high in refined sugars.
Drink between 8 to 10 cups of fluids daily.
Carbs: starch and protein in high-fiber complex carbohydrates help regulate the BG as a
result of a more sustantained glucose release over time.
Which instructions should the diabetes educator include regarding fingerstick blood glucose
(FSBG) monitoring? - CORRECT ANSWERS Prior to breakfast (fasting) and before each meal.
(DANIELLE GREENE) QUESTIONS AND ANSWERS
UPDATED 2024/2025 ALL ANSWERS 100% CORRECT
VERIFIED BEST GRADED A+ FOR SUCCESS
The clinic nurse reviews Danielle's prenatal record prior to performing a nursing assessment.
Danielle has given birth three times; once at 35 weeks (twins), once at 38 weeks (singleton)
and once at 41 weeks (singleton). All of these children are alive and well. She had one
spontaneous abortion at 10 weeks' gestation.
How should the nurse record Danielle's obstetrical history using the G-T-P-A-L designation? -
CORRECT ANSWERS 5-2-1-1-4
Gravida (no. pregnancies, including current)
Term (after wk 37) {live and stillborn}
Preterm (between 20-37 wk) {live and stillborn}
Abortion (fetal loss, up to 20 weeks)
Living (all alive at time of interview)
Which information does the nurse recognize in the client's history to support a diagnosis of
gestational diabetes? - CORRECT ANSWERS Child weighed 9 lbs (4.08 kg) at 41 weeks'
gestation
Risk Factors:
- previous birth over 9 lbs
- maternal age > 25
- obesity
- hx. of unexplained stillborn
- fam hx of Type 1 diabetes in a first-degree relative
- strong fam hx of type 2 DM
- hx of gest diabetes.
Which instruction should the nurse give the client? - CORRECT ANSWERS Follow an
unrestricted diet and exercise pattern for at least 3 days before the test.
, HESI CASE STUDIES - GESTATIONAL DIABETES
(DANIELLE GREENE) QUESTIONS AND ANSWERS
UPDATED 2024/2025 ALL ANSWERS 100% CORRECT
VERIFIED BEST GRADED A+ FOR SUCCESS
this allows the test to be a true determination of the body's ability to handled the glucose
load given after the fasting BG is drawn.
The nurse's response should be based on the understanding of which normal physiologic
change of pregnancy? - CORRECT ANSWERS Hormonal changes in the second and third
trimesters result in increased maternal insulin resistance.
increased levels of H increase insulin resistance bc they act as insulin antagonists --> glucose-
sparing mechanism to ensure an adequate glucose supply to the fetus. Most pregnant
women can handle this insulin resistance, but gest diabetes cannot and demonstrate an
impaired tolerance to glucose during pregnancy --> hyperglycemia
Which response should the nurse give to the client?
Select all that apply - CORRECT ANSWERS "Hyperglycemia often presents as increased thirst
and urination."
"Hyperglycemia causes a headache and flushed, dry skin."
Which responses should the nurse give to the client? - CORRECT ANSWERS Choose complex
carbohydrates that are high in fiber content.
Avoid foods high in refined sugars.
Drink between 8 to 10 cups of fluids daily.
Carbs: starch and protein in high-fiber complex carbohydrates help regulate the BG as a
result of a more sustantained glucose release over time.
Which instructions should the diabetes educator include regarding fingerstick blood glucose
(FSBG) monitoring? - CORRECT ANSWERS Prior to breakfast (fasting) and before each meal.
