Q.

Fetal hyperinsulinemia leads to:

A. Fetal macrosomia causes difficult vaginal delivery
B. Inhibition of pulmonary surfactant causing Intrauterine asphyxia
C. Decrease serum K causing respiratory distress syndrome
D. Neonatal hypoglycemia with myocardial injury
E. none
Answer» A. Fetal macrosomia causes difficult vaginal delivery
Explanation: Fetal hyperglycemia>>hyperinsulinemia>>macrosomia due to :insulin++ lipogenesis and glycogenesis, ptn synthesis (anabolic hormone)
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