A Healthy, 28-Week Pregnant Woman Presents to Clinic for Routine

A healthy, 28-week pregnant woman presents to clinic for routine follow-up. Her clean catch urine dipstick reveals positive nitrites, moderate amount leukocytes, trace protein, and small amount of blood. She reports no subjective symptoms associated with a UTI. Which of the following is the most appropriate next step?

A) Ask patient for a midstream catch urine sample and send for culture/sensitivity testing and await results to determine further action.
B) Advise patient to increase fluid intake, educate her on signs of a UTI, and go to the hospital if she experiences any of them.
C) Hold off on ordering a urine culture and sensitivity, and immediately prescribe cefpodoxime 100mg BID x 3 days.
D) Advise patient to increase fluid intake and take cranberry pills and follow-up to the clinic in 1 week for repeat urine dipstick.