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Question

A preterm neonate is brought to the emergency and the body temperature is noted to be 32°C. Which one of the following metabolic complications is unlikely?

This question was previously asked in
UPSC CMS 2026 Surgery, Gynaecology & Obstetrics, and PSM Question Paper (02-Aug-2026)
The correct answer is

Metabolic alkalosis

Neonatal cold stress/hypothermia classically causes increased metabolic rate leading to hypoglycemia, hypoxemia, and metabolic acidosis (due to anaerobic glycolysis and peripheral vasoconstriction), as well as increased unconjugated bilirubin (hyperbilirubinemia) from displacement by free fatty acids. Metabolic alkalosis is not a recognized consequence of hypothermia — acidosis, not alkalosis, occurs.

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Important Questions from Neonatal Care

  1. Which one of the following statements is correct regarding physiology of breastfeeding?
  2. If a baby does not begin breathing in response to tactile stimulation, then the baby is assumed to be in:
  3. Consider the following conditions :
    Response to tactile stimulationHeart RateBlood PressureTone
    AYesNormalNormalNormal
    BYesFallingNormalDecreasing
    CNoFallingFallingDecreasing
    DNoRisingNormalNormal
    Primary apnea in a neonate is characterized by which one of the above conditions?
  4. Consider the following statements about human breast milk : 

    1. 75% of breast milk content is water. 

    2. Breast milk is poor in taurine and cysteine. 

    3. Breast milk is particularly rich in omega 2 and omega 6 fatty acids. 

    4. High lactose content of breast milk helps in absorption of calcium. 

    Which of the statements given above are correct?

  5. Which of the following are signs of good attachment during breastfeeding? 

    1. The baby's nose is at the level of the nipple. 

    2. The baby's mouth is wide open. 

    3. The baby's chin touches the breast. 

    4. The baby's lower lip is everted. 

    Select the correct answer using the code given below:

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