BC ADM Gestational & Pregestational Diabetes Management 4

Question 1

A woman with pregestational type 1 diabetes is planning pregnancy. Which HbA1c target is recommended prior to conception to minimize congenital anomaly risk?

Accepted Answer

Less than 6.5% (48 mmol/mol)

Answer

Preconception HbA1c <6.5% is recommended to minimize the risk of congenital malformations, as anomalies primarily develop in the first trimester.

Question 2

Which maternal complication is most strongly associated with uncontrolled pregestational diabetes during the first trimester?

Accepted Answer

Congenital anomalies

Answer

Congenital anomalies are most strongly linked to hyperglycemia during organogenesis in the first trimester, when pregestational diabetes is established.

Question 3

A patient with GDM at 34 weeks has a nonstress test showing repetitive late decelerations. The most appropriate next step is:

Accepted Answer

Proceed to delivery or further evaluation with biophysical profile

Answer

Repetitive late decelerations indicate uteroplacental insufficiency and require urgent further evaluation (BPP) or delivery rather than watchful waiting.

Question 4

Diabetic ketoacidosis (DKA) in pregnancy is most dangerous because it can occur at a blood glucose level as low as:

Accepted Answer

180 mg/dL

Answer

Pregnancy lowers the threshold for DKA; euglycemic DKA can occur at glucose levels as low as 180 mg/dL due to altered metabolism and increased ketogenesis.

Question 5

When counseling a woman with GDM about breastfeeding, which benefit should be emphasized?

Accepted Answer

Breastfeeding is associated with reduced risk of type 2 diabetes in the mother and offspring

Answer

Breastfeeding is associated with lower long-term risk of type 2 diabetes for both the mother who had GDM and her child.

(BC ADM) Advanced Diabetes Management Certification Practice Test

(BC ADM) Advanced Diabetes Management Certification Practice Test

BC ADM Gestational & Pregestational Diabetes Management 4