CCTC FINAL EXAM 2025/2026 QUESTIONS WITH 100%
CORRECT ANSWERS
Gestational Diabetes Mellitus (GDM) - the mother can usually handle her blood
sugar needs on own but when she becomes pregnant - the pancreas may not
be able to keep up with her needs and the foetus’s needs
What is a major complication for the foetus that results from GDM? -
Macrosomia - the foetus grows too big leading to complications
Diagnosis of GDM - Glucose Tolerance test (GTT) at about 25-27 wks. gestation:
1hr & 3hr tests
· 1 hr test
o No fasting
o 130-140mg/dL or = more testing needed (3hr test)
o Under 130 mg/dL = normal no additional testing needed
· 3 hr test
o Require fasting
o No caffeine or smoking
o Glucose will be tested at 1 hr, 2 hrs., and 3 hrs.
treatment for GDM - Insulin
Diet control
Can a pregnant woman have oral anti diabetics? - no
most are contraindicated during pregnancy
Pre-eclampsia - increased BP and proteinuria (+1)
,with pre-eclampsia assessment: - headache
blurred vision
hyperreflexia
oedema
epigastric pain
eclampsia - Severe preeclampsia symptoms with seizure activity or coma
eclampsia is usually preceded by - headache
severe epigastric pain
hyperreflexia
hemoconcentration
HELLP syndrome - haemolysis, elevated liver enzymes, low platelets
Treatment for pre-eclampsia - -Bed rest, vitals Q1hr, listen to lungs, I&O, DTR
-Administer magnesium sulphate [Antidote- calcium gluconate]
-hydralazine
-methyldopa
-nifedipine
Can you give ACE inhibitors or ARBs to pregnant women with pre-eclampsia? -
no
contraindicated
signs of magnesium sulphate toxicity - Absent DTRs,
RR <14,
, decreased LOC,
severe hypotension muscle relaxation,
urine output of <30 ml/hr
#1 cause of preterm labour - infections
Oxytocin (Pitocin) - nursing management - - monitor BP & pulse
- hypertonicity of uterus
- FHR
When should you stop an oxytocin infusion? - -fatal bradycardia and late or
variable decelerations
-contractions less then q 2 minutes
-duration longer than 90 seconds
what should you do if you noticed adverse effects with oxytocin? - STOP
S - Stop infusion
T - Turn on left side
O - O2 admin
P - Provider should be called
cervical ripening - the process of softening and thinning the cervix by artificial
means
Contraindications for cervical ripening - - Non-reassuring FHR
- previous c-section
- placenta previa
CORRECT ANSWERS
Gestational Diabetes Mellitus (GDM) - the mother can usually handle her blood
sugar needs on own but when she becomes pregnant - the pancreas may not
be able to keep up with her needs and the foetus’s needs
What is a major complication for the foetus that results from GDM? -
Macrosomia - the foetus grows too big leading to complications
Diagnosis of GDM - Glucose Tolerance test (GTT) at about 25-27 wks. gestation:
1hr & 3hr tests
· 1 hr test
o No fasting
o 130-140mg/dL or = more testing needed (3hr test)
o Under 130 mg/dL = normal no additional testing needed
· 3 hr test
o Require fasting
o No caffeine or smoking
o Glucose will be tested at 1 hr, 2 hrs., and 3 hrs.
treatment for GDM - Insulin
Diet control
Can a pregnant woman have oral anti diabetics? - no
most are contraindicated during pregnancy
Pre-eclampsia - increased BP and proteinuria (+1)
,with pre-eclampsia assessment: - headache
blurred vision
hyperreflexia
oedema
epigastric pain
eclampsia - Severe preeclampsia symptoms with seizure activity or coma
eclampsia is usually preceded by - headache
severe epigastric pain
hyperreflexia
hemoconcentration
HELLP syndrome - haemolysis, elevated liver enzymes, low platelets
Treatment for pre-eclampsia - -Bed rest, vitals Q1hr, listen to lungs, I&O, DTR
-Administer magnesium sulphate [Antidote- calcium gluconate]
-hydralazine
-methyldopa
-nifedipine
Can you give ACE inhibitors or ARBs to pregnant women with pre-eclampsia? -
no
contraindicated
signs of magnesium sulphate toxicity - Absent DTRs,
RR <14,
, decreased LOC,
severe hypotension muscle relaxation,
urine output of <30 ml/hr
#1 cause of preterm labour - infections
Oxytocin (Pitocin) - nursing management - - monitor BP & pulse
- hypertonicity of uterus
- FHR
When should you stop an oxytocin infusion? - -fatal bradycardia and late or
variable decelerations
-contractions less then q 2 minutes
-duration longer than 90 seconds
what should you do if you noticed adverse effects with oxytocin? - STOP
S - Stop infusion
T - Turn on left side
O - O2 admin
P - Provider should be called
cervical ripening - the process of softening and thinning the cervix by artificial
means
Contraindications for cervical ripening - - Non-reassuring FHR
- previous c-section
- placenta previa
