Q. A 26-year-old G2P1 at 26 weeks of gestation comes to her obstetrician for routine prenatal care. She tested positive for Hepatitis B during the first-trimester screening. Her obstetric history includes one previous uncomplicated vaginal delivery. She denies any history of intravenous drug use or high-risk sexual behaviors. Her husband has no known history of hepatitis B. Her temperature is 98.2°F (36.8°C), pulse is 80/min, blood pressure is 120/80 mmHg, and respirations are 12/min. Physical examination is consistent with 26 weeks of pregnancy. No icterus or hepatosplenomegaly is noted. Laboratory tests show that she is again positive for hepatitis B surface antigen (HBsAg) and her HBV DNA load is 180,000 IU/mL. Which of the following is the most appropriate management for this patient?

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