Arab Board Pediatrics Clinical Exam Practice Questions - Arab Board Pediatrics Final Clinical And Oral Examination (ABHS) Exam

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A 2-hour-old term infant of a mother with poorly controlled gestational diabetes is jittery, irritable, and has poor latching. Point-of-care capillary glucose is 1.4 mmol/L (25 mg/dL). What is the most appropriate initial management?

Administer an intravenous bolus of 2 mL/kg of 10% dextrose (D10W) followed by a continuous glucose infusion Administer oral 20% dextrose solution and recheck blood glucose in 60 minutes Provide 1 mL/kg of intramuscular glucagon and encourage breastfeeding Administer an intravenous bolus of 5 mL/kg of 25% dextrose (D25W) immediately

Correct Answer:

Administer an intravenous bolus of 2 mL/kg of 10% dextrose (D10W) followed by a continuous glucose infusion

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