Review Question - QID 215039

A 32-year-old gravida 1 para 0 (G1P0) woman presents to her obstetrician at 20 weeks of gestation for follow-up. She noticed increased body hair and acne that has worsened since her last visit. Her voice seems different than prior to the pregnancy. There are no obvious problems with the pregnancy. Her temperature is 98.6°F (37°C), blood pressure is 128/82 mmHg, pulse is 90/min, and respirations are 14/min. Fetal heart tones on Doppler are normal. Examination of the mother reveals hair growing on her chest and face, moderate acne of the face and back, and an enlarged clitoris. Bimanual examination reveals a uterus of appropriate gestational size with no adnexal masses. Fetal ultrasound reveals a female fetus with size appropriate for gestational age and no abnormal masses. The remainder of the exam is within normal limits. Which of the following outcomes is most likely for the mother and fetus?