<prompt> A 32-year-old woman with diabetes mellitus delivers a child after 38 weeks of gestation. Which of the following is the most likely abnormality that might be encountered in this child at birth?CataractsHyperbilirubinemiaHypoglycemiaLow birth weight  <response>: Tight glucose control in the diabetic mother is necessary to prevent overstimulation of the fetal pancreas during gestation. Fetuses exposed to hyperglycemia in utero may develop hyperplasia of the pancreatic b-cells, which may secrete insulin autonomously and cause hypoglycemia at birth and in the early neonatal period. Infants of diabetic mothers show a 5 to 10 incidence of major development abnormalities. Increased birth weight is commonly encountered in offspring of diabetic mothers see choice D. The incidence of mental retardation choice E is not specifically increased.Diagnosis: Gestational diabetes 