Essential Neonatal Medicine

Sixth Edition

Sunil Sinha, Lawrence Miall and Luke Jardine

Multiple Choice Questions

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Chapter 21, Question 1.

21.1 A female infant is born with an omphalocoele that was diagnosed antenatally. The infant was delivered vaginally at 38 weeks' gestation. Birthweight was 4500 g. The omphalocoele 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–1. 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.