A 28-year-old woman, gravida 1 para 0

A 28-year-old woman, gravida 1 para 0, comes to the office in November for her first prenatal visit. The patient has mild nausea and

vomiting every morning but is able to tolerate food during the rest of the day She has had no vaginal bleeding, abnormal discharge,

or cramping Her last menstrual period was 8 weeks ago. The patient has no medical problems and takes only prenatal vitamins.

She does not use tobacco, alcohol, or illicit drugs. Family history is significant for a father with type 2 diabetes mellitus who had a

heart attack at age 55. The patient has had 2 lifetime sexual partners and has never had a sexually transmitted infection. Blood

pressure is 132/80 mm Hg and pulse is 84/min. BMI is 23 kg/m2 Pelvic examination shows an 8-week anteverted uterus and a

closed cervix. Transvaginal ultrasound reveals an 8-week intrauterine gestation with a normal fetal heartbeat. Which of the following

is indicated at this visit?

  • Q A Fasting blood glucose level
  • Q B. Hepatitis C antibody testing
  • Q C. Inactivated influenza vaccine
  • Q D. Trichomonas vagina/is nucleic acid amplification testing
  • Q E. Wet mount microscopy

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