<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 31-year-old G1P0 woman at 26 weeks gestation presents to the clinic for evaluation of an abnormal glucose tolerance test. She denies any symptoms, but states that she was given 50 g of oral glucose 1 week earlier and demonstrated a subsequent venous plasma glucose level of 156 mgdL 1 hour later. The vital signs are: blood pressure, 11278 mm Hg; pulse, 81min; and respiratory rate, 16min. Physical examination is within normal limits. Which of the following is the most appropriate next step in management?? A: Repeat the 50 g oral glucose challenge, B: Administer an oral, 3-hour 100 g glucose dose, C: Advise the patient to follow an American Diabetic Association diet plan, D: Begin insulin treatment, E: Order a fetal ultrasound examination,  <response>: This is a question about managing gestational diabetes in a pregnant woman. The patient had an abnormal 1-hour 50 g glucose challenge test, indicating she may have gestational diabetes. The key steps are to confirm the diagnosis with a 3-hour 100 g oral glucose tolerance test and start appropriate management if gestational diabetes is confirmed.Choice A of repeating the 1-hour test is not definitive for diagnosis. Choice C of advising an ADA diet and Choice E of getting an ultrasound are premature before confirming the diagnosis. Choice D of starting insulin without a definitive diagnosis is also premature.Choice B of administering a 3-hour 100 g oral glucose tolerance test is the most appropriate next step to confirm the diagnosis of gestational diabetes before proceeding with further management.B: Administer an oral, 3-hour 100 g glucose dose 