MSFinals-3271

A 28-year-old woman with gestational diabetes delivered at 39+2 weeks’ gestation by an uncomplicated elective Caesarean section for macrosomia. The baby weighed 4.8 kg at delivery. The Apgar score at 1 and 5 minutes was 10. Eight hours later, she pulls the emergency alarm because her baby became lethargic and started shaking.

What is the most probable reason for this newborn’s seizure activity and lethargy?