A 4800 g (10.6 lb) male newborn is delivered at term to a 35-year-old woman, gravida 1, para 1. Significant lateral neck traction is required during delivery. Apgar scores are 9 and 9 at 1 and 5 minutes, respectively. He is found irritable and confused in the newborn nursery. The infant has not yet breastfed as his mother is still recovering from surgery. His serum glucose is 21 mg/dL. . Which of the following factors is the most likely cause of this neonate's hypoglycemia?

Question

A 4800 g (10.6 lb) male newborn is delivered at term to a 35-year-old woman, gravida 1, para 1. Significant lateral neck traction is required during delivery. Apgar scores are 9 and 9 at 1 and 5 minutes, respectively. He is found irritable and confused in the newborn nursery. The infant has not yet breastfed as his mother is still recovering from surgery. His serum glucose is 21 mg/dL. .  Which of the following factors is the most likely cause of this neonate's hypoglycemia?

Quizplus · Accepted Answer

Eductional Objective: Maternal hyperglycemia causes increased transplacental glucose delivery to the infant, fetal hyperglycemia, and, ultimately, beta cell hyperplasia.  The resulting hyperinsulinemia caused by islet cell hyperplasia is associated with fetal macrosomia and hypoglycemia after delivery.

A 4800 G (10