A 26-year-old pregnant woman at 25 weeks' gestation comes for routine prenatal care. She has BMI 29 kg/m2 and no prior diabetes. Early pregnancy

Question

A 26-year-old pregnant woman at 25 weeks' gestation comes for routine prenatal care. She has BMI 29 kg/m2 and no prior diabetes. Early pregnancy glucose was normal. She asks whether any diabetes testing is due. Which of the following is the most appropriate screening recommendation?

Accepted Answer

Screen for gestational diabetes now

Answer

Order fetal lung maturity testing

Answer

Start insulin without testing

Answer

Screen after symptoms develop

Answer

Screen at 6 weeks postpartum instead

Gestational diabetes screening — USMLE Step 3 MCQ

A 26-year-old pregnant woman at 25 weeks' gestation comes for routine prenatal care. She has BMI 29 kg/m2 and no prior diabetes. Early pregnancy glucose was normal. She asks whether any diabetes testing is due. Which of the following is the most appropriate screening recommendation?