Q. A 29-year-old G2P1 woman, at 30 weeks of gestation comes to the physician’s office with intense itching, mainly on her palms and soles, for the past 2 weeks. She reports that itching is worse at night and also her appetite has become poor. Her medical history is unremarkable, and she is not taking any medications. The previous pregnancy was uneventful. Her temperature is 98.4°F (36.9°C), pulse is 100/min, blood pressure is 98/60 mmHg, and respirations are 14/min. Physical examination shows excoriations on the palms and soles and mild scleral icterus. Otherwise, she is consistent with her gestational age with a fetal heart rate of 150 beats per minute. Laboratory tests show elevated serum bile acids and liver enzymes. What is the most appropriate next step in her management?