Quiz

CDR-approved credit is available for registered dietitians and dietetic technicians through May 31, 2010. When you have successfully answered 80% of the quiz questions, a printable certificate of completion will be generated. If you need additional documentation, contact pwdlearn@u.washington.edu.

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1. Gestational diabetes is associated with increased risk of complications for the infant including:

a. hypertensive disorders
b. increased risk for type 1 diabetes
c. low birthweight, prematurity, and failure to thrive
d. macrosomia, neonatal hypoglycemia, and jaundice

2. Maternal risk factors for gestational diabetes include:

a. marked obesity
b. family history of diabetes
c. history of gestational diabetes
d. a and c only
e. all of the above

3. Medical management of gestational diabetes usually involves:

a. daily self-monitoring of blood glucose and medical nutrition therapy
b. daily self-monitoring of blood glucose and insulin
c. daily self-monitoring of blood glucose and oral glucose-lowering agents
d. medical nutrition therapy only

4. The California Sweet Success program suggests the following energy composition for management of gestational diabetes:

a. <35% total energy as carbohydrate, 30-40% as protein, 10-25% as fat
b. <45% total energy as carbohydrate, 15-20% as protein, 30-40% as fat
c. 60-70% total energy as carbohydrate, 15-20% as protein, 10-25% as fat
d. 65-75% total energy as carbohydrate, 10-20% as protein, 5-15% as fat

5. Post partum considerations for women with diabetes include all of the following, EXCEPT:

a. Family planning
b. Monitoring for hyperglycemia
c. Maintaining a healthy weight
d. Infant feeding, since breastfeeding is contraindicated

6. For most women, medical management of preeclampsia involves which of the following:

a. antihypertensive medications
b. early delivery
c. monitoring of blood pressure, renal and liver function, and of the fetus
d. supplemental sodium

7. A systolic blood pressure reading of >____ mm Hg before 20 weeks gestation indicates increased risk of preeclampsia.

a. 80
b. 100
c. 120
d. 140

8. Which of the following statements is correct:

a. Excessive dietary calcium intake may increase risk of hypertension during pregnancy.
b. Restriction of dietary sodium will prevent preeclampsia.
c. One study showed a link between a food pattern high in fiber, potassium, magnesium, and calcium and lower rates of preeclampsia.
d. Many studies indicate that supplementation with vitamins C and E will reduce the risk of preeclampsia

9. Obesity increases the risk of some pregnancy complications. The best outcomes are associated with maternal weight gain that is:

a. at the lower range of what is recommended for all pregnant women
b. at the upper range of what is recommended for all pregnant women
c. as low as possible or weight loss
d. between 11-20 pounds

10. The goal of medical nutrition therapy for overweight and obesity is:

a. weight loss
b. weight maintenance
c. weight gain that allows for adequate fetal growth
d. weight gain of at least 40 pounds

11. Factors associated with low prenatal weight gain include all of the following EXCEPT:

a. underweight
b. obesity
c. unwanted pregnancy
d. smoking and alcohol use
e. low socioeconomic status

12. Medical nutrition therapy for underweight should include which of the following:

a. recommendations for decreasing physical activity
b. use of an energy-dense supplement, such as Ensure
c. assessment of the cause(s) for inadequate intake
d. referral for an endocrine work-up

13. Because maternal-fetal nutritional status is a significant factor in moderating the impact of drug use on pregnancy outcome, diet assessment is important and should give special attention to which of the following:

a. food availability, access to food, and food purchasing, storage, and preparation resources
b. use of a prenatal vitamin supplement
c. possible effects of substances on appetite
d. all of the above

14. True or false: Women who are otherwise drug-free but who continue to smoke should be encouraged to breastfeed.

a. true
b. false