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Question 10: A client is now pregnant for the second time. Her first child weighed 4536 g at delivery. The
client's 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
Correct Answer: D
Explanation:
(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-insulin-dependent 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.