<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 29-year-old G2P1001 presents to her obstetricians office complaining of dyspareunia. She endorses ongoing vaginal dryness resulting in uncomfortable intercourse over the last month. In addition, she has noticed a gritty sensation in her eyes as well as difficulty tasting food and halitosis. She denies pain with urination and defecation. Her medications include a daily multivitamin, folic acid, and over-the-counter eye drops. The patients temperature is 98.6F 37.0C, pulse is 70min, blood pressure is 12180 mmHg, and respirations are 13min. Physical exam is notable for a well-appearing female with fullness in the bilateral cheeks and reduced salivary pool. For which of the following is the patients fetus at increased risk?? A: Macrosomia, B: Neonatal hypoglycemia, C: Heart block, D: Pulmonary hypertension, E: Meconium aspiration,  <response>: This is a medical question asking about the increased risk for the fetus of a patient presenting with symptoms of Sjogrens syndrome during pregnancy. The key findings in the stem are a 29-year-old pregnant woman with vaginal dryness, eye grittiness, taste changes, and halitosis. She has physical exam findings of fullness in the cheeks and reduced salivary pool. These symptoms and signs are classic for Sjogrens syndrome, an autoimmune condition characterized by lymphocytic infiltration and dysfunction of exocrine glands like salivary and lacrimal glands. The answer choices list various potential fetal complications. The correct answer will be the one that is most commonly associated with maternal Sjogrens syndrome during pregnancy. Neonatal heart block is the fetal complication most strongly linked to maternal Sjogrens syndrome, as SSA and SSB antibodies can cross the placenta and damage the fetal cardiac conduction system. The other answer choices are not known to be increased in fetuses of mothers with Sjogrens syndrome.C: Heart block 