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Mickie is a 37-year-old Hispanic female in her second pregnancy. Her first pregn

ID: 3475695 • Letter: M

Question

Mickie is a 37-year-old Hispanic female in her second pregnancy. Her first pregnancy resulted in a healthy baby girl who weighed 9lbs 3oz. Her prepregnancy information is as follows: BMI=28, Height=5'4 tall, and Weight 165lbs (75kg). She did not manage to take off all the weight she gained before getting pregnancy again and, at 24 weeks she has gained 20 lbs and currently weighs 185lbs (84kg). Diet history reveals an average calorie intake of 2300 calaries per day. Two hours after her 75-g glucose tolerance test starts, her blood glucose is 155mg/dL.

1) Mickis's BMI indicates that she was _____ going into her pregnancy. Pick one (underweight, at a normal weight, overweight, obese, morbidly)

2) Mickie's glucose tolerance test results indicate that she ___.

a. is okay and does not have to be tested for gestational diabetes

b. has gestational diabetes

c. has borderline diabetes

d. has type 2 diabetes

e. has preeclampsia

Explanation / Answer

1) BMI value of 28 usuallt indicates OVERWEIGHT.hence, Mickeys BMI indiates she is going OVERWEIGHT in her pregnancy.

2) 2 hour glucose tolerance test indicares gestational diabetes if the level is more than 155mg/dL.Hence, mickey's test result indicates that she is at the borderline.However, being more than 25 year age, hispanic,overweight and had a baby previously with more than 9 lb weight, increases her suscetibility towards gestational diabetes.Hence the correct answer should be (b)..she has gestational diabetes.

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