مولود لأم مصابة بسكري الحمل غير المنضبط، وزنه ٤٫٦ كغ. بعد ساعة من الولادة صار يرتعش ويرضع بضعف. ما الفحص الأول؟

A 4.6 kg baby of a mother with poorly controlled gestational diabetes is jittery and feeding weakly an hour after birth. What is the first test?

1. Thyroid function tests
2. A chest and abdominal X-ray
3. Blood culture and immediate lumbar puncture
4. Heel-prick blood glucose

Answer: D) Heel-prick blood glucose. Infants of diabetic mothers produce excess insulin and develop neonatal hypoglycaemia. Glucose is checked early, feeding started and treatment given per protocol.