New born baby born to a diabetic mother will have all the following except
**Core Concept**
Erythroblastosis fetalis and congenital hypoglycemia are complications associated with a diabetic mother due to hyperglycemia and fetal hyperinsulinism. However, the newborn of a diabetic mother is also at risk for polycythemia due to increased erythropoietin production secondary to fetal hypoxia. Furthermore, the baby may develop respiratory distress syndrome due to surfactant deficiency.
**Why the Correct Answer is Right**
The newborn of a diabetic mother is prone to congenital hypoglycemia due to excess insulin production stimulated by maternal hyperglycemia. This excess insulin can lead to hypoglycemia in the newborn. Additionally, the baby may experience respiratory distress syndrome due to surfactant deficiency, and polycythemia due to increased erythropoietin production secondary to fetal hypoxia. The increased erythropoietin production is a result of the fetus's attempt to compensate for the hypoxia caused by the maternal diabetes.
**Why Each Wrong Option is Incorrect**
**Option A:** This option is not a known complication associated with a diabetic mother.
**Option B:** Polycythemia is indeed a complication associated with a diabetic mother.
**Option C:** Respiratory distress syndrome is also a known complication associated with a diabetic mother.
**Option D:** This option is not a known complication associated with a diabetic mother.
**Clinical Pearl / High-Yield Fact**
The newborn of a diabetic mother should be monitored closely for hypoglycemia, polycythemia, and respiratory distress syndrome. Early detection and management of these complications can significantly improve the baby's outcome.
**Correct Answer: A.**