This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: All India exam, Subject name: Gynaecology & Obstetrics
A 3.8 kg baby of a diabetic mother developed seizures 16 hours after bih. The most probable cause would be 
Select and explain. 
A. Hypoglycemia, B. Hypocalcemia, C. Bih asphyxia, D. Intraventricular hemorrhage
A: Hypoglycemia
Answer: A: Hypoglycemia 
Explanation: The neonate has seizures developed at around 16 hrs after bih. There are two possibilities in this neonate i.e. hypoglycemia and hypocalcemia. Hypoglycemia in first 18-36 hrs is usually due to transient neonatal hypoglycemia and after 36 hrs metabolic and other causes are likely. Hypoglycemia develops in about 25-50% of infants of diabetic mothers and 15-25% of infants of mothers with gestational diabetes, but only a small percentage of these infants become symptomatic.