Midwifery I Final Exam Questions & Answers (Graded A+)

Maternal education for GDM Meds for GDM management {Ans: Diet Exercise Checking BG 4x daily--keep journal Glyburide MOA: increases insulin secretion, does not cross placenta starting dose: 2.5mg, AM/PM, then increase one to 5 mg, then AM/PM both 5 mg. Max dose: 10 mg Metformin MOA: decreases glucose secretion, crosses placenta Injectable insulin}What is the biggest risk factor for preterm birth? What is another strong predictor? {Ans: Previous preterm labor Low prepregnancy BMI}Glucose ranges for at home BG checks Fasting 1 hour postprandial 2 hour postprandial 2am-6am {Ans: Fasting: <95 1 hour postprandial: <130 2 hour postprandial: <120 2am-6am: <60}1. Pathophysiology of preeclamspia 2. Mild preeclamspia defined as? 3. Severe preeclampsia defined as? 4. When does preeclampsia usually occur? {Ans: 1. Abnormal trophoblastic invasion of the uterus at the placental site Causes narrowing of spiral arteries 2. 2 separate readings at least 6 hrs apart >140 OR >90 after 20 weeks OR Protein--> +300mg in 24 hr urine OR PCR 0.3 OR +1 urine dip on two samples at least 6 hrs apart 3. 2 separate readings at least 6 hrs apart >160 OR >110 after 20 weeks Protein-->+500mg in 24 hr urine OR +3 urine