Poorly Controlled Diabetes Is in Pediatrics — Case | Neonatology | SMLE Q#18710

SMLE Question #18710

Pediatrics Neonatology

Objective: OBJ-NEO-HEM-001

Last updated: February 2026
At 2 hours of life, a term newborn delivered to a mother with poorly controlled diabetes is noted to be plethoric. Capillary hematocrit is 71% and venous hematocrit is 70%. He has intermittent tachypnea without retractions. He is alert with normal tone and feeds well; mild jitteriness improves after feeding. What is the most appropriate management of this infant’s polycythemia?

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