Exam NCLEX-RN topic 4 question 90 discussion

Actual exam question from Test Prep's NCLEX-RN

Question #: 90
Topic #: 4

A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The clients glucose tolerance test shows elevated blood sugar levels.
Because she only shows signs of diabetes when she is pregnant, she is classified as having:

A. Insulin-dependent diabetes
B. Type II diabetes mellitus
C. Type I diabetes mellitus
D. Gestational diabetes mellitus

Show Suggested Answer

Suggested Answer: D 🗳️
(A) Insulin-dependent diabetes mellitus, also known as type I diabetes, usually appears before the age of 30 years with an abrupt onset of symptoms requiring insulin for management. It is not related to onset during pregnancy. (B) Non-insulindependent diabetes (type II diabetes) usually appears in older adults. It has a slow onset and progression of symptoms. (C) This type of diabetes is the same as insulin-dependent diabetes. (D) Gestational diabetes mellitus has its onset of symptoms during pregnancy and usually disappears after delivery. These symptoms are usually mild and not life threatening, although they are associated with increased fetal morbidity and other fetal complications.

by [deleted] at March 10, 2025, 6:47 a.m.

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