This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Physiological changes during Pregnancy, Subject name: Gynaecology & Obstetrics
A 42-year-old primigravida presents to your office for a routine OB visit at 34 weeks gestational age. She voices concern because she has noticed an increasing number of spidery veins appearing on her abdomen. She is upset with the unsightly appearance of these veins and wants to know what you recommend to get rid of them. How do you advise this patient? 
Select and explain. 
A. Tell her that this is not a serious condition and give her a referral to a vascular surgeon to have the veins removed, B. Tell her that you are concerned that she may have serious liver disease and order liver function tests, C. Refer her to a dermatologist for further workup and evaluation, D. Tell her that the appearance of these blood vessels is a normal occurrence with pregnancy and will resolve spontaneously after delivery
D: Tell her that the appearance of these blood vessels is a normal occurrence with pregnancy and will resolve spontaneously after delivery
Answer: D: Tell her that the appearance of these blood vessels is a normal occurrence with pregnancy and will resolve spontaneously after delivery 
Explanation: Vascular spiders, or angiomas, are common findings during pregnancy. They form as a result of the hyperestrogenemia associated with normal pregnancies and are of no clinical significance. The presence of these angiomas does not require any additional workup or treatment, and they will resolve spontaneously after delivery Reassurance to the patient is all that is required.