This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: None, Subject name: Gynaecology & Obstetrics
[{'content': 'All are true regarding lupus and pregnancy except \nSelect and explain. \nA. Can result in renal failure., B. Women with cutaneous lupus have no adverse outcomes usually., C. Lupus in pregnancy can result in pre-term labor., D. Antibodies to ss - A and ss - B antigens result in ventricular apical fibrosis in neonate.', 'role': 'user'}, {'content': 'Answer: D \nExplanation: Neonatal heart block results from diffuse myocarditis and fibrosis in the region between A V node and Bundle of His.', 'role': 'assistant'}]