QUESTION 22

 A healthy 22-year-old woman, gravida 2 para 1, comes to her physician for a routine prenatal visit She is 28 weeks pregnant, feeling

well, and gaining weight appropriately. She has no bleeding, fluid leakage, or uterine contractions and feels fetal movement. The

patient recently ended her relationship with the father of the baby_ Her first trimester prenatal testing results were as follows:

HIV Negative

Rapid plasma reagin Negative

Rubella Nonimmune

Hepatitis B surface

Negative

antigen

Chlamydia Negative

Gonorrhea Negative

Blood type A negative

Antibody screen Negative

Urine culture Negative

Which of the following is the most appropriate next step at this gestational age in pregnancy?

 A Anti-D immune globulin

Q B. Group B Streptococcus culture

Q C. HIV antibody test

Q D. Rubella immunization

Q E. Urine culture