Answer :
The next best step for the management of this pregnancy will be:
Fetal Sonogram
You should take multiple gestation as an etiology in pregnancies that are larger than dates and have increased maternal serum AFP.
Repeating the maternal serum AFP test would just postpone more testing. At this stage of pregnancy, neither a biophysical profile nor fetal Doppler tests are advised or necessary. Amniocentesis is an invasive procedure that wouldn't be used before an ultrasound-based fetal scan.
What is a pregnancy with g2p1?
Regardless of how they turned out, P in the GP system stands for the number of pregnancies that have proceeded to 20 weeks or beyond.
A woman who is expecting her second child and has already given birth to a healthy term child qualifies as G2P1.
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