Question

A 30-year-old G2P0 woman at 38 weeks gestation has just delivered a male infant. She has a history of type 1 diabetes since age 11. Maternal labs show: blood type B+; RPR non-reactive; HBsAg negative; HIV negative; and GBS negative. She had moderate control of blood sugar during her pregnancy. Which of the following would be the most likely finding in the newborn?

A. Large and hypoglycemic
B. Small and hypoglycemic
C. Large and hyperglycemic
D. Small and hyperglycemic
E. Normal size and euglycemic

Answer 1

The most likely finding in the newborn of a mother with type 1 diabetes is being large for gestational age and hypoglycemic.

Step-by-step explanation:

The most likely finding in a newborn whose mother has a history of type 1 diabetes with moderate control of blood sugar during pregnancy is A. Large and hypoglycemic. Infants born to mothers with diabetes are at increased risk for macrosomia, which refers to a birth weight over 8 pounds 13 ounces or about 4,000 grams, due to the increased supply of glucose from the mother. Additionally, once the umbilical cord is cut, the newborn's high insulin level relative to glucose can lead to neonatal hypoglycemia. It's essential to monitor the infant's blood glucose levels and provide treatment if required to prevent complications associated with low blood sugar levels in the newborn.