Difficulty: Medium
Average Score: 71%
Full-length
A 23-year-old woman at 32-weeks gestation is seen in the outpatient clinic.
Correct answer
A
Rationale
Glucose and acetone in urine suggest possible gestational diabetes, which can lead to placental insufficiency and fetal complications, requiring immediate evaluation. Mild edema, increased vaginal discharge, and diaphragmatic pressure are common in late pregnancy and not necessarily indicative of complications.