A 30-year-old woman at 26 weeks' gestation has no symptoms. BMI is 33 kg/m2 and her mother has type 2 diabetes. Early pregnancy A1c was normal. Which

Question

A 30-year-old woman at 26 weeks' gestation has no symptoms. BMI is 33 kg/m2 and her mother has type 2 diabetes. Early pregnancy A1c was normal. Which of the following is the most appropriate next step in management?

Accepted Answer

Perform gestational diabetes screening now

Answer

Skip screening because early A1c was normal

Answer

Order fetal echocardiography as the screening test

Answer

Begin insulin without diagnostic testing

Answer

Delay screening until labor

Gestational diabetes screening — USMLE Step 3 MCQ

A 30-year-old woman at 26 weeks' gestation has no symptoms. BMI is 33 kg/m2 and her mother has type 2 diabetes. Early pregnancy A1c was normal. Which of the following is the most appropriate next step in management?