<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 27-year-old G3P2002 presents to the clinic for follow up after her initial prenatal visit. Her last period was 8 weeks ago. Her medical history is notable for obesity, hypertension, type 2 diabetes, and eczema. Her current two children are healthy. Her current pregnancy is with a new partner after she separated from her previous partner. Her vaccinations are up to date since the delivery of her second child. Her temperature is 98F 37C, blood pressure is 11060 mmHg, pulse is 85min, and respirations are 18min. Her physical exam is unremarkable. Laboratory results are shown below:Hemoglobin: 14 gdLHematocrit: 41Leukocyte count: 9,000mm3 with normal differentialPlatelet count: 210,000mm3Blood type: ORh status: NegativeUrine:Epithelial cells: RareGlucose: PositiveWBC: 5hpfBacterial: NoneRapid plasma reagin: NegativeRubella titer: 1:8HIV-1HIV-2 antibody screen: NegativeGonorrhea and Chlamydia NAAT: negativePap smear: High-grade squamous intraepithelial lesion HGSILWhat is the best next step in management?? A: Colposcopy and biopsy after delivery, B: Colposcopy and biopsy now, C: Cryosurgical excision, D: Loop electrosurgical excision procedure LEEP, E: Repeat Pap smear,  <response>: This is a question about the management of an abnormal Pap smear in a pregnant patient. The key findings in the stem are that the patient is 27 years old, G3P2002, and 8 weeks pregnant. She has a history of obesity, hypertension, diabetes, and eczema. Her current pregnancy is with a new partner. She has a high-grade squamous intraepithelial lesion HGSIL on Pap smear. The options include:A Colposcopy and biopsy after deliveryB Colposcopy and biopsy now C Cryosurgical excisionD LEEPE Repeat Pap smearIn pregnancy, the main concern with an abnormal Pap smear is evaluating for high-grade dysplasia or cancer that may require treatment. Colposcopy and biopsy are recommended to evaluate abnormal Pap smears. LEEP and cryotherapy are not recommended in pregnancy due to risk of complications. Repeating the Pap smear is not helpful as it does not provide histologic diagnosis. The timing of colposcopy depends on the gestational age and severity of the Pap smear result.B: Colposcopy and biopsy now 