North American Registry of Midwives (NARM) Practice Exam 2025 – The All-in-One Resource to Master Your Midwifery Certification!

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Why is fasting blood sugar not sufficient as the sole screening criteria for gestational diabetes?

It is too difficult to measure

Because it can be normal in gestational diabetes

Fasting blood sugar levels can indeed appear normal in women who are experiencing gestational diabetes. This condition often involves glucose intolerance that can fluctuate throughout the day, meaning that a typical fasting measurement could miss instances where blood sugar levels rise significantly after eating. As gestational diabetes can manifest mainly after meals, relying solely on fasting blood sugar can lead to underdiagnoses of this important condition, which could potentially affect both maternal and fetal health. Therefore, additional testing methods, such as the two-hour oral glucose tolerance test, are recommended to provide a more accurate assessment of glucose metabolism during pregnancy.

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It is invasive and not recommended

It has low specificity

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