Poorly Controlled Gestational Diabetes in Pediatrics — 28yo Woman | Neonatology | SMLE Q#15875

SMLE Question #15875

Pediatrics Neonatology

Objective: OBJ-386

Last updated: January 2026
A 2-hour-old term male neonate is noted to have jitteriness and intermittent tremors shortly after birth. He was born via uncomplicated vaginal delivery to a 28-year-old woman with poorly controlled gestational diabetes mellitus who required insulin during pregnancy. The infant has a strong cry and normal tone, and there are no seizure-like movements or facial asymmetries. Vital signs are: T: 36.8 °C, HR: 148/min, RR: 42/min, BP: 68/40 mmHg, SpO2: 98% on room air. Which of the following investigations is most important to perform first?

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