<prompt> Answer this question truthfullyWhat is the recommended next step in management for a young woman who presents with diffuse periumbilical abdominal pain that then localizes to the right lower quadrant and whose last menstrual period was one month ago?  <response>: <reason> The recommended next step in management for a young woman who presents with diffuse periumbilical abdominal pain that then localizes to the right lower quadrant and whose last menstrual period was one month ago is to perform a pregnancy test. This is because the symptoms described can be indicative of a possible ectopic pregnancy or other pregnancy-related complications. If the pregnancy test is positive, further evaluation is necessary to determine if the pregnancy is intrauterine or ectopic, as an ectopic pregnancy is a medical emergency. If the pregnancy test is negative, other causes of abdominal pain should be considered and appropriate management initiated. 