<prompt> Congenital heart disease is most likely in the newborn of mothers suffering from all except:Systemic lupus erythematosusRheumatoid arthritisDiabetes in pregnancy,Congenital heart disease of the mother  <response>: Lets analyse each option separatelyFetal congenital cardiac disease is increased by 310 if either of the parents have congenital heart lessons.Dutta 7e, p 276. so option d is correctNeonatal lupus syndrome is due to crossing of maternal lupus antibodies anti-Ro or anti-La to the fetus causing hemolytic anemia, leukopenia and thrombocytopenia. Isolated congenital heart block is present in about one-third of cases. An apparently healthy woman delivering a baby with congenital heart block should be observed for the development of SLE.Dutta 7e, p 293 i.e. option a is correctMatenal diabetes we all know leads to fetal heart disease Dutta 7e, p 284, so our answer by exclusion is rheumatoid arthritis. 