Obstetric Nurse Test Obstetric Nurse High-Risk Pregnancy Management

Question 1

A patient's 1-hour glucose challenge test (GCT) result is 152 mg/dL. What is the appropriate next step?

Accepted Answer

Perform a 3-hour 100g oral glucose tolerance test (OGTT)

Answer

Diagnose gestational diabetes and start insulin immediately

Answer

Repeat the 1-hour GCT in 2 weeks

Answer

Counsel on diet modifications and recheck in 1 month

Question 2

What is the fasting blood glucose target for a patient with gestational diabetes managed with diet and exercise?

Accepted Answer

Less than 95 mg/dL

Answer

Less than 110 mg/dL

Answer

Less than 120 mg/dL

Answer

Less than 130 mg/dL

Question 3

A neonate born to a mother with poorly controlled gestational diabetes is at highest immediate risk for which complication?

Accepted Answer

Neonatal hypoglycemia

Answer

Neonatal hyperglycemia

Answer

Neonatal hyperthyroidism

Answer

Neonatal anemia

Question 4

Macrosomia in infants of mothers with gestational diabetes is primarily caused by:

Accepted Answer

Fetal hyperinsulinemia secondary to maternal hyperglycemia

Answer

Maternal hypoglycemia causing compensatory fetal growth

Answer

Excess maternal caloric intake unrelated to blood sugar

Answer

Placental insufficiency causing catch-up growth

Question 5

Which insulin type is traditionally preferred for use during pregnancy due to its established safety profile?

Accepted Answer

NPH and regular human insulin

Answer

Insulin glargine (Lantus) only

Answer

Insulin detemir (Levemir) only

Answer

Insulin lispro (Humalog) only

Question 6

A patient with gestational diabetes whose blood glucose normalized during delivery should be scheduled for which postpartum test?

Accepted Answer

75g OGTT at 6–12 weeks postpartum

Answer

Fasting glucose only at 1 week postpartum

Answer

HbA1c at 3 months only

Answer

No testing is required if glucose normalized during delivery