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Questions and Answers
What is the initial treatment for a symptomatic neonate with hypoglycemia?
What is the initial treatment for a symptomatic neonate with hypoglycemia?
- Give crystalline glucagon IM or SC
- IV bolus of 200mg/kg of 10% glucose (correct)
- Administer hydrocortisone 5mg/kg/day IV or IM
- Start IV Dextrose 10% at 60ml/kg/day
What is the maximum dose of glucagon for neonates?
What is the maximum dose of glucagon for neonates?
- 0.3 mg/kg/dose
- 1.5 mg/kg/dose
- 2 mg/kg/dose
- 1 mg/dose (correct)
What is the goal of initial IV infusion rate in hypoglycemic neonates?
What is the goal of initial IV infusion rate in hypoglycemic neonates?
- 4.2 mg/kg/min glucose (correct)
- 8 mg/kg/min glucose
- 6 mg/kg/min glucose
- 10 mg/kg/min glucose
What is the next step if the initial IV infusion rate is inadequate?
What is the next step if the initial IV infusion rate is inadequate?
What is the contraindication for treatment of hypoglycemia?
What is the contraindication for treatment of hypoglycemia?
What is the recommended frequency of blood glucose level measurement?
What is the recommended frequency of blood glucose level measurement?
What percentage of women are noted to have gestational diabetes during pregnancy?
What percentage of women are noted to have gestational diabetes during pregnancy?
What is the primary reason for poor pregnancy outcomes in diabetic mothers?
What is the primary reason for poor pregnancy outcomes in diabetic mothers?
What is the average daily glucose level required for women with type 1 diabetes during pregnancy to deliver infants with normal birthweights and anthropomorphic features?
What is the average daily glucose level required for women with type 1 diabetes during pregnancy to deliver infants with normal birthweights and anthropomorphic features?
What is the recommended HbA1c level for pregestational diabetes to achieve the best outcomes for the mother and the baby?
What is the recommended HbA1c level for pregestational diabetes to achieve the best outcomes for the mother and the baby?
What is the primary goal of treating gestational diabetes?
What is the primary goal of treating gestational diabetes?
What is the primary cause of fetal mortality rate in diabetic mothers, especially after 32 weeks?
What is the primary cause of fetal mortality rate in diabetic mothers, especially after 32 weeks?
What is the definition of hypoglycemia in infants?
What is the definition of hypoglycemia in infants?
What is the percentage of infants born to diabetic mothers who are large for gestational age?
What is the percentage of infants born to diabetic mothers who are large for gestational age?
What is the recommended course of action for asymptomatic infants?
What is the recommended course of action for asymptomatic infants?
What is the primary mechanism by which poorly controlled maternal diabetes leads to fetal hyperglycemia?
What is the primary mechanism by which poorly controlled maternal diabetes leads to fetal hyperglycemia?
What is the consequence of fetal hyperglycemia on the fetal pancreas?
What is the consequence of fetal hyperglycemia on the fetal pancreas?
What is the recommended treatment for infants with a glucose level between 1.2-2.5 mmol/L on the first testing?
What is the recommended treatment for infants with a glucose level between 1.2-2.5 mmol/L on the first testing?
What is the recommended course of action for infants with glucose levels below 1.2 mmol/L at any stage?
What is the recommended course of action for infants with glucose levels below 1.2 mmol/L at any stage?
What is the risk of congenital malformations in gestational diabetes compared to the general population?
What is the risk of congenital malformations in gestational diabetes compared to the general population?
What is the alternative treatment to insulin therapy for gestational diabetes?
What is the alternative treatment to insulin therapy for gestational diabetes?
What is the benefit of treating gestational diabetes with glyburide?
What is the benefit of treating gestational diabetes with glyburide?
What is the primary function of fetal hyperinsulinemia in the last trimester?
What is the primary function of fetal hyperinsulinemia in the last trimester?
What is the result of sudden separation of the placenta at birth?
What is the result of sudden separation of the placenta at birth?
What is the primary mechanism by which maternal diabetes affects the fetus?
What is the primary mechanism by which maternal diabetes affects the fetus?
What is a common clinical manifestation of infants of diabetic mothers (IDM)?
What is a common clinical manifestation of infants of diabetic mothers (IDM)?
What is the pathophysiological mechanism underlying fetal acidosis?
What is the pathophysiological mechanism underlying fetal acidosis?
What is the incidence of hypoglycemia in infants of diabetic mothers (IDM)?
What is the incidence of hypoglycemia in infants of diabetic mothers (IDM)?
What is the possible reason for the higher incidence of respiratory distress syndrome (RDS) in IDM?
What is the possible reason for the higher incidence of respiratory distress syndrome (RDS) in IDM?
What is the primary approach to prevent macrosomic fetal growth and neonatal hypoglycemia?
What is the primary approach to prevent macrosomic fetal growth and neonatal hypoglycemia?
What is the percentage of cardiomegaly in infants of diabetic mothers?
What is the percentage of cardiomegaly in infants of diabetic mothers?
What is the incidence of congenital anomalies increased in infants of diabetic mothers?
What is the incidence of congenital anomalies increased in infants of diabetic mothers?
What is the characteristic of anencephaly?
What is the characteristic of anencephaly?
What is the long-term prognosis for infants of diabetic mothers in terms of physical development?
What is the long-term prognosis for infants of diabetic mothers in terms of physical development?
What is the benefit of periconception glucose control in infants of diabetic mothers?
What is the benefit of periconception glucose control in infants of diabetic mothers?
What is the characteristic of lumbosacral agenesis?
What is the characteristic of lumbosacral agenesis?
What is the benefit of glucose control during labor in infants of diabetic mothers?
What is the benefit of glucose control during labor in infants of diabetic mothers?
What is the treatment approach for infants of diabetic mothers?
What is the treatment approach for infants of diabetic mothers?
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