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Exam 1.5

QuestionAnswer
Who ae the high risk moms for GDM? Prior GDM, marked obesity, PCOS, glycosuria, FmHx of DM2
What are the benchmarks for GDM diagnosis? HbA1C equal or higher than 6.5 or a fasting glucose over 126 is considered GDM.
When is the GTT test used? what is 1hr GTT vs 3 hr GTT GTT test is used 24-28 weeks on everyone. 1 hr GTT is drink sugar rich drink then test in an hour. If u fail this test then u do the 3 hr one.
What testing can u expect with GDM? How often can u expect testing for nst? What is the timing of birth dependent on? Nonstress tests starting at 28 weeks, and twice a week after 32 weeks. US for anomalies and growth. Timing of birth depends on NST and US results, may go early due to increased fetal size or placental issues.
Labor/Postpartum GDM mgmt Increased insulin during labor 2/2 stress. No need to maintain AC postpartum unless on insulin during pregnancy. Reassess at 6 weeks.
AGA meaning weight between 10th and 90th percentile. 2500-4500g
SGA meaning weight less than 10th percentile <2500
LGA meaning Weight large than 90th percentile > 4000
 

 



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