A 27-year-old pregnant patient at 25 weeks' gestation has no prior diabetes and no symptoms. BMI before pregnancy was 31 kg/m2. Fetal growth is

Question

A 27-year-old pregnant patient at 25 weeks' gestation has no prior diabetes and no symptoms. BMI before pregnancy was 31 kg/m2. Fetal growth is appropriate. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Screen for gestational diabetes now

Answer

Defer screening because she is asymptomatic

Answer

Screen at 6 weeks postpartum instead

Answer

Use hemoglobin electrophoresis as screening

Answer

Screen with fetal echocardiography

Gestational diabetes screening — USMLE Step 3 MCQ

A 27-year-old pregnant patient at 25 weeks' gestation has no prior diabetes and no symptoms. BMI before pregnancy was 31 kg/m2. Fetal growth is appropriate. Which of the following is the most appropriate screening recommendation?