Holmesglen Diploma of Nursing: GDM Tutorial Worksheet

This assignment is a completed worksheet focusing on Gestational Diabetes Mellitus (GDM), designed for a Diploma of Nursing program. The worksheet assesses the student's knowledge of GDM, including its definition, potential complications for both the mother and the baby, and risk factors. It also covers the Oral Glucose Tolerance Test (OGTT) procedure, interpretation of results, and the Australasian Diabetes in Pregnancy Society (ADIPS) guidelines. The assignment presents a case study of a pregnant woman, Kenchana Singh, and her GDM diagnosis, prompting the student to answer questions related to the condition. Additionally, the worksheet explores risk factors for developing Type 2 diabetes and strategies to mitigate the risk, providing a comprehensive understanding of diabetes management during pregnancy and beyond. The assignment is graded, requiring a minimum score to be deemed satisfactory.

CRS170
Revision 101
July 2017
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Assessment Task 1: Gestational Diabetes Mellitus Tutorial
Worksheet
Student Version: Knowledge
Student information
Student name: Student
ID:
Section A – Program/Course details
Qualification
code:
HLT54115 Qualification title: Diploma of Nursing
Unit code: HLTENN025 Unit title: Implement and monitor
care for a person with
diabetes
Section B – Assessment task details
Assessment
number:
1 Semester/Year: Enter Semester/Year
Due date: Week 3 Date of submission:
Assessment task
results:
This assessment task will be marked as:
☒ Graded result: 30 marks. To be deemed satisfactory, a minimum score of
15/30 must be achieved.
☐ Other

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CRS170
Revision 101
July 2017
Page 2 of 4
Section C – Conditions for Assessment
Conditions:
 Students to complete Assessment Cover Sheet and Assessment Task and submit together
in word doc format. No jpegs, images, screenshots or pdf formatted work will be accepted.
 All pages must have the student’s name, ID number and signature on it, where stipulated
 This assessment is to be commenced in Tutorial 2.
 Students may address any questions to the teacher.
 Students may discuss this assessment with other students in class, but the answers must
be in your own wording. (No group answers will be allowed).
 Smart phones/tablets/lap-tops may be used to access the internet or other resources to
complete this assessment.
 Plagiarism will not be accepted.
 Answers to be typed in Arial font, size 12 with 1.5 spacing
 Students to reference their work in APA 6th style
 A minimum score of 15/30 to be deemed satisfactory for this assessment.
 Students may resubmit this task if deemed not successful as per Holmesglen assessment
policy.
 Students requiring a second attempt will be awarded a maximum score of 15/30 if they
achieve a satisfactory result.
 Students to inform the teaching staff if special consideration or adjustment has been
authorised for this task.
Equipment/resources students must supply: Equipment/resources to be provided by
the RTO:
Pen/laptop, copy of Assessment Task
Coversheet and worksheet
Assessment Task Cover
sheet/worksheet to be downloaded by
the student, from Brightspace
Section D – Task Instructions
Answer the following questions of a woman’s journey through Gestational Diabetes Mellitus.
Kenchana Singh is a 27-year-old woman who is 25 weeks pregnant for the first time. She
weighs 84 kgs, is 162 cms tall and has a BMI of 32. Kenchana has a sedentary lifestyle and
most of her diet consists of take-away food, soft drink and dessert breads.
At 24 weeks gestation, Kenchana underwent an Oral Glucose Tolerance Test (OGTT) with the
following results:
Oral Glucose Tolerance Test (OGTT) – 75g carbohydrate load
Time Venous Plasma Glucose
0 minutes Fasting level 7.1 mmol/L
120 minutes 11.2 mmol/L
Kenchana has been diagnosed with Gestational Diabetes Mellitus (GDM)

Section E – Marking Guide Student Answer Sheet
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CRS170
Revision 101
July 2017
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Question
1:
What is Gestational Diabetes Mellitus? Discuss.
(5 marks)
Satisfactory
response
Y
e
s
☐
No
☐
Answer:
Gestational diabetes mellitus is described as any the level of glucose
intolerance with beginning or first acknowledgement at the time of pregnancy.
The Gestational diabetes mellitus (GDM) is the situation where the hormone
created through the placenta stops body from utilizing insulin in effective
manner. It only takes place at the time of pregnancy. It means that the woman
has high blood sugar level. However, this level was normal prior to the
pregnancy. After the birth of baby, gestational diabetes mellitus normally
goes away. The meaning implements whether insulin or only diet
modifications are utilized for the treatment and whether or not the conditions
persist after pregnancy. This does not eliminate the possibilities that
unrecognized glucose intolerance can have predated or started concurrently
with pregnancy (American Diabetes Association, 2016).
Comment:
Question
2:
List five (5) potential complications effecting a woman with
GDM.
(2.5 marks – 0.5 marks per complication)
Satisfactory
response
Y
e
s
☐
No
☐
Answer:
In case of development of Gestational diabetes mellitus, the female is at great
risk. These potential complications are-
 High blood pressure
 Premature birth
Comment:

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 Still-birth
 Shoulder dystocia
 Cesarean delivery
The female is also at a risk for having the baby who has:
1. Breathing problem
2. Low glucose levels
3. Jaundice
4. Risks of developing diabetes in upcoming life
5. Fatness in childhood
Sometimes baby of mother with gestational diabetes make lower blood sugar
shortly after birth due to the personal insulin production is higher. It is known
as neonatal hypoglycaemia. It may be treated with quick feeding as well as
sometimes the intravenous glucose solutions (Colberg, et. al, 2016).
Question
3:
List five (5) potential complications effecting the baby of a
mother with GDM.
(2.5 marks – 0.5 marks per complication)
Satisfactory
response
Y
e
s
☐
No
☐
Answer: While a woman is pregnant, the hormones of body change in the
different manners. Uncontrolled Gestational diabetes mellitus may hurt the
baby and mother. Following potential complications affect the baby of mother
with Gestational diabetes mellitus –
1. High blood glucose level
2. Reproduction of insulin
3. Macrosomia
4. Birth trauma
5. Shoulder dystocia
Comment:
Question
4:
List five (5) risk factors for developing GDM.
(2.5 marks – 0.5 marks per risk factor)
Satisfactory
response
Y
e
No
☐

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CRS170
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s
☐
Answer: following are the fiver risk elements for developing GDM-
1. heaviness
2. excessive gestational weight gain
3. family history of diabetes,
4. short stature under 1.50 m
5. repeated miscarriage history (Green, et. al, 2015)
Comment:
Question
5:
a) What or who are the ADIPS?
(0.5 marks)
b) State seven (7) of the ADIPS guidelines for women with
Type 1 Diabetes, for the period prior to conception.
(7 marks – 1 mark per guideline)
Satisfactory
response
Y
e
s
☐
No
☐
Answer: (a) ADIPS stands for Australasian Diabetes in Pregnancy Society. It
is the professional body, which is developed for advancing the clinical as well
as scientific information of the diabetes in pregnancy. It is established to
motivate dissemination of the understanding and to raise association with
other local societies involved in the diabetes in pregnancy (American Diabetes
Association, 2018). This is also included in the development of health policies
in relation to the diabetes in pregnancy at the domestic level and central level.
(b) Following are the guidelines-
1. level of evidence
2. suggested targets of treatment in GDM
3. management in postpartum time
4. Potential impacts of the new diagnostic criterias for hyperglycaemia in
pregnancy
5. early test
6. alternative to GTT
7. Diagnostic criteria
Comment:

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Question 6: a) How would you describe the Oral Glucose
Tolerance Test procedure, step by step, in a
way Kenchana can understand?
(4 marks – 0.5 marks per step)
b) State the normal results of an OGTT and
the results confirming a diagnosis of
gestational diabetes.
(1 mark – 0.5 mark each for normal and diagnostic
result)
Yes
☐
No
☐
Answer: (a) The oral glucose tolerance test is conducted in several steps.
Firstly, the one-hour screening is made. In a case when one hour
screening is made, then 3 hours glucose tolerance test is conducted. After
the blood draw to test abstaining glucose, the patient will take solution
drink with fifty grams sugar. After an hour, the blood sample will be taken.
The technician to assess the level of blood sugar will use the sample
(Ogurtsova, et. al, 2017).
The next step is usually made if first has the positive results. This includes
the 3-hour version of oral glucose tolerance test. In this test, the
healthcare providers would ask a person to have the syrupy glucose
solutions having 100 grams of sugar. The healthcare providers will take
the blood while fasting and at 1-hour, 2-hour, 3-hour marks after a person
has drunk glucose solution. When the body processes a drink of sugar,
then the doctor would be capable to tell how well the body may handle the
sugar challenges.
(b) The results of OGTT are mention as follows-
1. Fasting plasma glucose is required to be under 6.1 mmol/L
(110 mg/dL). The levels of fasting between 6.1 and 7.0 mmol/L (110
and 125 mg/dL) are marginal. The level of fasting frequently at or
more than 7.0 mmol/L (>126 mg/dL) are diagnostic of diabetes.
2. In one-hour Glucose Tolerance Test, glucose level under 10 mmol/L
(180 mg/dL) is regarded as normal.
3. For the 2 hour with 75 grams intake, the level of glucose under
7.8 mmol/L (140 mg/dL) is normal, where the high level
Comment:

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Revision 101
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states hyperglycemia. The blood plasma glucose between
7.8 mmol/L (140 mg/dL) and 11.1 mmol/L (200 mg/dL), states
impaired glucose tolerance,” above 11.1 mmol/L at 2 hours confirm
the diagnosis of diabetes (American Diabetes Association, 2017).
Question 7: Kenchana has reported that her father
developed Type 2 diabetes at age 55 years.
a) List five (5) risk factors for developing Type
2
diabetes
(2.5 marks – 0.5 marks per risk factor)
b) List five (5) strategies Kenchana undertake to
reduce this risk?
(2.5 marks – 0.5 marks per strategy)
Satisfactory response
Answer: (a) following are the risk factors of type 2 diabetes-
1. Weight
2. Inactivity
3. Race
4. Age
5. High blood pressure
(b) following are the five strategies Kenchana undertake to reduce the
risk-
1. manage the weight
2. Quit smoking
3. limit alcohol intake
4. control blood pressure
5. do exercise on the regular basis
Yes
☐
No
☐
Comment:

Additional Assessor comments (as appropriate):
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CRS170
Revision 101
July 2017
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Section F – Feedback to Student
Score: / 30
Has the student successfully completed this assessment task?
Yes No
☐ ☐
Resubmission
allowed:
Yes ☐ No ☐ Resubmission due
date:
Assessor name:
Assessor signature:
Date:

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CRS170
Revision 101
July 2017
Page 9 of 4
References
American Diabetes Association. (2016). 2. Classification and diagnosis of diabetes. Diabetes
care, 39(Supplement 1), S13-S22.
American Diabetes Association. (2017). 2. Classification and diagnosis of diabetes. Diabetes
care, 40(Supplement 1), S11-S24.
American Diabetes Association. (2018). 2. Classification and diagnosis of diabetes: standards of
medical care in diabetes—2018. Diabetes care, 41(Supplement 1), S13-S27.
Colberg, S. R., Sigal, R. J., Yardley, J. E., Riddell, M. C., Dunstan, D. W., Dempsey, P. C., & Tate, D. F.
(2016). Physical activity/exercise and diabetes: a position statement of the American Diabetes
Association. Diabetes care, 39(11), 2065-2079.
Green, J. B., Bethel, M. A., Armstrong, P. W., Buse, J. B., Engel, S. S., Garg, J. & Lachin, J. M. (2015).
Effect of sitagliptin on cardiovascular outcomes in type 2 diabetes. New England Journal of
Medicine, 373(3), 232-242.
Ogurtsova, K., da Rocha Fernandes, J. D., Huang, Y., Linnenkamp, U., Guariguata, L., Cho, N. H., &
Makaroff, L. E. (2017). IDF Diabetes Atlas: Global estimates for the prevalence of diabetes for
2015 and 2040. Diabetes research and clinical practice, 128, 40-50.