DKA in Pregnancy

DKA in Pregnancy

DKA in Pregnancy

DKA in Pregnancy DKA in Pregnancy

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Question 1 of 3

1. Question
With regard to the diagnosis of DKA in pregnancy which of the following are true?
- DKA is most common in the 1st trimester
- DKA is still possible if serum glucose within normal limits
- A patient with DKA will have a high anion gap metabolic acidosis
- Pregnant patients are more susceptible to metabolic acidosis
- Ketones on urine dipstick are diagnostic of DKA in pregnancy
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Question 2 of 3

2. Question
With regard to DKA in pregnancy which of these statements are true?
- Pregnant diabetics are predisposed to develop DKA
- DKA is possible in those diagnosed with only gestational diabetes
- DKA in pregnancy has a serious risk of fetal mortality – between 9-35%
- DKA in pregnancy will often occur more rapidly than in non-pregnant patients
- Hypotension in pregnant patients is very worrying as it occurs late
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Question 3 of 3

3. Question
With regard to the management of DKA in pregnancy which of the following are true?
- Fetal monitoring is usually not required
- There is significantly increased risk of cerebral oedema so fluid resuscitation of the pregnant patient in DKA should be very conservative
- Fetal compromise may resolve if the mother is adequately resuscitated
- Urgent delivery is required for patients in DKA in their third trimester
- A high dependency bed is rarely required
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