Real Life RN Maternal Newborn Gestational Diabetes 2026 – 25 Exam Questions & Correct Answers – OGTT, Insulin Therapy & Fetal Monitoring

This document contains approximately 25 structured exam questions and correct answers for Real Life RN Maternal Newborn: Gestational Diabetes (2026). It focuses on nursing management of gestational diabetes mellitus (GDM), including screening procedures, diagnostic criteria, insulin administration, dietary teaching, fetal surveillance, and newborn complications. The content is organized in an NCLEX-style question-and-answer format designed to strengthen clinical judgment in maternal-newborn nursing. The guide begins with pregnancy dating using Naegele’s Rule (LMP + 9 months + 7 days) and includes dosage and weight conversions (kilograms to pounds). It reviews risk factors for gestational diabetes such as obesity, maternal age over 25, and family history of diabetes mellitus. Detailed instruction is provided for the 1-hour and 3-hour oral glucose tolerance tests (OGTT), including proper timing of blood specimen collection and diagnostic criteria requiring two elevated glucose values for confirmation of gestational diabetes. Comprehensive patient education topics include dietary management (45–65% of daily calories from carbohydrates), self-blood glucose monitoring with correct sequencing of fingerstick technique, and insulin administration teaching (site rotation practices and storage guidelines). The document outlines recognition and treatment of hypoglycemia, including early symptoms (diaphoresis, shakiness, dizziness) and the 15-gram rapid-acting carbohydrate intervention such as 4 oz of non-caffeinated regular soda. Fetal assessment and monitoring are thoroughly reviewed, including nonstress test (NST) procedures—pressing the handheld marker with fetal movement—and components of the biophysical profile (fetal tone, fetal breathing movements, gross body movements, and amniotic fluid volume). Potential newborn complications of gestational diabetes, particularly neonatal hypoglycemia, are emphasized to reinforce anticipatory guidance and postpartum monitoring. This resource is ideal for: RN students in maternal-newborn rotations OB clinical nursing students ATI Real Life RN Maternal Newborn review students NCLEX-RN candidates BSN and ADN nursing students Maternal-child health exam candidates It is relevant for courses such as: Maternal Newborn Nursing Obstetric Nursing High-Risk Pregnancy Management Endocrine Disorders in Pregnancy NCLEX-RN Preparation ATI Maternal Newborn Review Keywords: Real Life RN Maternal Newborn 2026, Gestational Diabetes Exam Questions, Oral Glucose Tolerance Test OGTT, Naegeles Rule Calculation, Self Blood Glucose Monitoring Steps, Regular Insulin Teaching, Hypoglycemia Treatment 15 Gram Rule, Nonstress Test Procedure, Biophysical Profile Components, Neonatal Hypoglycemia Risk, Maternal Diabetes Education, Fetal Monitoring Nursing