<prompt> Please answer with one of the option in the bracket. Write reasoning in between . Write answer in between .Q:A 28-year-old primigravida presents to the office with complaints of heartburn while lying flat on the bed at night and mild constipation that started a couple of weeks ago. She is 10 weeks pregnant, as determined by her last menstrual period. Her first menstruation was at 13 years of age and she has always had regular 28-day cycles. Her past medical history is insignificant. She does not smoke cigarettes or drink alcohol and does not take any medications. Her father died of colon cancer at 70 years of age, while her mother has diabetes and hypertension. Her vital signs include: temperature 36.9C 98.4F, blood pressure 9852 mm Hg, pulse 113minute, oxygen saturation 99, and respiratory rate 12 minute. The physical examination was unremarkable, except for a diastolic murmur heard over the apex. Which of the following is considered abnormal in this woman?? A: Decreased vascular resistance, B: Increased cardiac output, C: Diastolic murmur, D: Low blood pressure, E: Tachycardia,  <response>: This is a medical question asking about which finding is abnormal in a 28-year-old pregnant woman at 10 weeks gestation. The key findings in the stem are that she has heartburn, constipation, a diastolic heart murmur, tachycardia, and low blood pressure. In pregnancy, increased cardiac output and decreased vascular resistance are normal physiologic adaptations to support the developing fetus. A diastolic heart murmur can sometimes be detected during pregnancy due to the increased blood volume and cardiac output, but it is still considered an abnormal finding that should be evaluated further. Tachycardia and low blood pressure are also abnormal in a healthy pregnant woman at this stage. Constipation and heartburn are common discomforts in pregnancy and not necessarily abnormal.Therefore, the abnormal finding in this patient is the diastolic heart murmur.C: Diastolic murmur 