A patient is being taught about tests for gestational diabetes. Teaching was effective when the patient states the following

“I will get my A1C checked every visit."

"A fasting glucose done in the first trimester of pregnancy will show if I have gestational diabetes.”

“All women are tested in the second trimester with a three hour glucose tolerance test to determine if they have gestational diabetes."

“I will have a one hour glucose test (glucose tolerance test) to screen for gestational diabetes during the second trimester.”

Answer and Explanation

The Correct Answer is D

A. The A1C is not used for diagnosing gestational diabetes; it measures long-term blood glucose levels.

B. A fasting glucose test in the first trimester is not typically used for diagnosing gestational diabetes.

C. The three-hour glucose tolerance test is used for diagnosing gestational diabetes but not as a routine screening for all women.

D. The standard screening test for gestational diabetes is the one-hour glucose challenge test, typically performed between 24 and 28 weeks of gestation.

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Correct Answer is C

Explanation

A. A decrease in hematocrit after delivery is more likely due to physiological changes rather than dietary factors alone, though iron intake is important for overall recovery.

B. Hemoconcentration refers to an increase in hematocrit due to a decrease in plasma volume, but this is not the reason for a decreased hematocrit postpartum.

C. During pregnancy, blood volume increases to support both the mother and fetus. After delivery, plasma volume returns to pre-pregnancy levels, which can cause a relative decrease in hematocrit.

D. A significant drop in hematocrit could indicate postpartum hemorrhage, but a slight drop can be expected as part of normal post-delivery physiology.

A. G4T1P2A1L3 B. G4T2P0A113 C. G3T1P2A1L3 D. G4T1P1A1L3

Correct Answer is A

Explanation

A. G4T1P2A1L3 correctly documents her four pregnancies (G4), one term birth (T1), two preterm births (P2), one abortion (A1), and three living children (L3).

B. G4T2P0A1L3 incorrectly suggests two term births and no preterm births.

C. G3T1P2A1L3 incorrectly suggests only three pregnancies.

D. G4T1P1A1L3 incorrectly indicates only one preterm birth.

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