Hesi Case Study: Gestational Diabetes
Exam Questions and Answers 100% Pass
Meet the Client: - ANSWER-Danielle Greene
Danielle Greene is a 32-year-old multigravida at 28 weeks' gestation, who presents
to the obstetricians office for a routine prenatal visit. She has been receiving
prenatal care since 8 weeks' gestation.
Obstetrical History - ANSWER-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? - ANSWER-
The nurse notes that Danielle's fasting 1-hour glucose screening level, which was
done 1 week prior, is 164 mg/dL - ANSWER-5-2-1-1-4
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Which information does the nurse recognize in the client's history to support a
diagnosis of gestational diabetes? - ANSWER-Child weighed 9 lbs (4.08 kg) at 41
weeks' gestation.
Further Glucose Screening - ANSWER-Danielle is scheduled for a 3-hour oral
glucose tolerance test in 5 day and is told to arrive at the lab at 0830. Danielle asks
if there are any special instructions for the test in addition to fasting for 8 hours
immediately prior to the test.
Which instruction should the nurse give the client? - ANSWER-Follow an
unrestricted diet and exercise pattern for at least 3 days before the test.
Danielle asks the nurse why she wasn't tested for gestational diabetes until she was
at almost 28 weeks' gestation. - ANSWER-
The nurse's response should be based on the understanding of which normal
physiologic change of pregnancy? - ANSWER-Hormonal changes in the second
and third trimesters result in increased maternal insulin resistance.
Interdisciplinary Client Care - ANSWER-Danielle's 3-hour oral glucose tolerance
test indicates that she does have gestational diabetes. The nurse phones Danielle
and arranges for her to meet with the obstetrician, as well as an RN diabetes
educator and a registered dietician (RD) the next day.
The obstetrician and the nurse discuss gestational diabetes with Danielle. After
seeking Danielle's input, they outline their suggested POC, which includes dietary
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
Exam Questions and Answers 100% Pass
Meet the Client: - ANSWER-Danielle Greene
Danielle Greene is a 32-year-old multigravida at 28 weeks' gestation, who presents
to the obstetricians office for a routine prenatal visit. She has been receiving
prenatal care since 8 weeks' gestation.
Obstetrical History - ANSWER-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? - ANSWER-
The nurse notes that Danielle's fasting 1-hour glucose screening level, which was
done 1 week prior, is 164 mg/dL - ANSWER-5-2-1-1-4
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 1
, Which information does the nurse recognize in the client's history to support a
diagnosis of gestational diabetes? - ANSWER-Child weighed 9 lbs (4.08 kg) at 41
weeks' gestation.
Further Glucose Screening - ANSWER-Danielle is scheduled for a 3-hour oral
glucose tolerance test in 5 day and is told to arrive at the lab at 0830. Danielle asks
if there are any special instructions for the test in addition to fasting for 8 hours
immediately prior to the test.
Which instruction should the nurse give the client? - ANSWER-Follow an
unrestricted diet and exercise pattern for at least 3 days before the test.
Danielle asks the nurse why she wasn't tested for gestational diabetes until she was
at almost 28 weeks' gestation. - ANSWER-
The nurse's response should be based on the understanding of which normal
physiologic change of pregnancy? - ANSWER-Hormonal changes in the second
and third trimesters result in increased maternal insulin resistance.
Interdisciplinary Client Care - ANSWER-Danielle's 3-hour oral glucose tolerance
test indicates that she does have gestational diabetes. The nurse phones Danielle
and arranges for her to meet with the obstetrician, as well as an RN diabetes
educator and a registered dietician (RD) the next day.
The obstetrician and the nurse discuss gestational diabetes with Danielle. After
seeking Danielle's input, they outline their suggested POC, which includes dietary
©️COPYRIGHT 2025, ALL RIGHTS RESERVED. 2
