Infant of a Diabetic Mother – Board-Style Questions

What this deck covers

Infant of a Diabetic Mother in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Low blood pressure
2. Breathless at 38 weeks
3. More yellow
4. A stopped infusion
5. The tablet
6. The other tablet
7. Growing up
8. Why not wait
9. How long to watch
10. The size of the bolus
11. Small, not large
12. Before the birth
13. The shape of a big baby
14. Why it is dangerous
15. Threatening to deliver
16. Coming off the drip
17. What makes them big
18. Type 1 in the family

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: They make the thick septum block the outflow, The caesarean section alone, Haemolytic disease from blood group incompatibility, Delivering by caesarean as fast as possible, Insulin, since it crosses the placenta freely, Rarely, since it hardly affects the baby’s insulin, Epilepsy in childhood, To reduce the baby’s risk of jaundice, Only the first hour after birth, It causes fluid overload in almost every baby, Too little insulin in the mother, Stop all insulin in the last week, The babies are born later on average, His brain uses less glucose.

Clinical pearls from this deck

• In a thick-walled diabetic mother’s baby, squeezing harder closes the door.
• A diabetic mother’s baby can be lung-immature at 38 weeks.
• A plethoric baby today can be a yellow baby in three days.
• Every hour of high maternal glucose in labour is paid for by the baby after birth.
• Of the diabetes tablets in pregnancy, the sulfonylurea is the one the baby feels.
• Metformin in the mother rarely starves the baby of glucose.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all Neonatology case decks · pediatric reference values.