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Home Books Williams Obstetrics Study Guide, 25th Edition

CHAPTER 57: Diabetes Mellitus

Diabetes Mellitus

What does in utero exposure to hyperglycemia lead to?

a. Increase fetal fat cells

b. Fetal hyperinsulinemia

c. Insulin resistance in adolescence

d. All of the above

d Introduction

How is diabetes classified during pregnancy?

a. Type 1 or type 2

b. Pregestational or gestational

c. Type 1, type 2, or gestational

d. Using the White classification

c Classification During Pregnancy

Diabetes is the most common medical complication of pregnancy. The diagram below shows the increasing prevalence of gestational diabetes in the past 20 years. Which ethnic group is at highest risk for gestational diabetes?

Reproduced with permission from Cunningham FG, Leveno KJ, Bloom SL, et al (eds): Diabetes mellitus. In Williams Obstetrics, 25th ed. New York, McGraw-Hill, 2018, Figure 57-1.

A bar graph depicts the increasing prevalence of gestational diabetes in the past 20 years from 1995 to 2015.
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A bar graph depicts the increasing prevalence of gestational diabetes in the past 20 years from 1995 to 2015.

a. Asian

b. Native American

c. Ashkenazi Jewish

d. Eastern European

b Classification During Pregnancy

A 34-year-old woman was diagnosed with diabetes at the age of 20. Her initial prenatal care labs return with a 24-hour urine protein of 250 mg. She has benign retinopathy on ophthalmologic exam. What White classification does her pregnancy carry?

a. C

b. D

c. F

d. R

b Table 57-2

Which of the following findings are considered diagnostic for overt diabetes in pregnancy?

a. Hemoglobin A1C >6%

b. Glucosuria on urine dip

c. Fasting plasma glucose ≥120 mg/dL

d. Random plasma glucose ≥200 mg/dL

d Table 57-4

Fetuses of overtly diabetic mothers have an increased risk for which of the following?

a. Preterm delivery

b. Spontaneous abortion

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