This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Surgery
A 26-year-old gravida 3 woman has a history of gestational diabetes and a delivery of two previous infants at term that were greater than 4000 grams, each of whom had severe hypoglycemia. Which of the following maneuvers is least likely to reduce the chance of the next child's having hypoglycemia? 
Select and explain. 
A. Careful control of the maternal blood glucose levels during pregnancy, B. Maternal intravenous loading with 10% glucose beginning 2 to 4 h prior to the expected time of delivery, C. Careful glucose monitoring of the infant, D. Early feedings of the infant
B: Maternal intravenous loading with 10% glucose beginning 2 to 4 h prior to the expected time of delivery
Answer: B: Maternal intravenous loading with 10% glucose beginning 2 to 4 h prior to the expected time of delivery 
Explanation: Glucose loading of the mother will result in fetal hyperglycemia, which causes insulin release and reactive hypoglycemia. Careful medical suppo of the antepaum woman diminishes the hyperophy of the fetal islet cells. Careful monitoring of the infant with early feeding or intravenous infusion of glucose can prevent hypoglycemia. A neutral thermal environment diminishes glucose consumption and, therefore, helps with glucose homeostasis.