Essential Neonatal Medicine

Sixth Edition

Sunil Sinha, Lawrence Miall and Luke Jardine

Multiple Choice QuestionsReturn to MCQ contents list »

Chapter 21: Question 1

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21.1 A female infant is born with an omphalocele that was diagnosed antenatally. The infant was delivered vaginally at 38 weeks' gestation. Birthweight was 4500 g. The omphalocele was covered with a clear polythene film after birth and the baby has been admitted to the nursery for intravenous 10% dextrose while awaiting surgical consult. After insertion of the peripheral intravenous cannula a venous plasma glucose is collected and is 1.1 mmol/L. The baby's core temperature is measured at 36.0 °C. Which one of the following is the most likely cause for the plasma glucose reading?

A Defect in fatty acid oxidation.
B Abnormal insulin secretion.
C Cold stress.
D Delayed serum cortisol response.
E Impaired glycogenesis.