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7/29/21, 3:57 PM

Robert Freter

A 28 yo F G2P1001 at 30 weeks gestation has gestational diabetes currently well controlled with metformin and glypuride. She is concerned about this pregnancy and the complication associated with gestational diabetes. What is an associated risk?

Down Syndrome

Ebstein Anomaly

Fetal Hydrops

Macrosomia --> Shoulder dystocia

Correct Answer:

D

Macrosomia --> Shoulder dystocia ihe correct answer because gestational diabetes is connected to large gestational weight. Large fetal weight can lead to a potential shoulder dystocia (obstetrical emergency) during delivery. Ebstein anomaly is caused by litium use in pregnanc, which is not stated. Certain torch infections like VZV can cause hydrops fetalis. Down syndrome can be caused by advanced maternal age.

Reference: Caughey AB. Gestational Diabetes Mellitus: Obstetrical Issues and Management. In: Post TW, ed. UpToDate .Waltham, MA: UpToDate.https://www.uptodate.com/contents/gestational-diabetes-mellitus-obstetrical-issues-and-management. Last updatedSeptember 12, 2017