Nancy, is an African-American age 41-years-old, and her husband, David, age 47, arrive at a midwife clinic for an initial prenatal visit. They have been married for 10 years and trying to have a child for 3 years. Nancy completes the initial paperwork and the nurse notes the following obstetrical history: G3, T0, P0, A2, L0. Nancy is approximately 8 weeks pregnant. What questions in the history are the highest priority for the nurse to ask, given Nancys obstetrical history? Why is this history important?

What initial prenatal screening and testing would the nurse anticipate at this visit? Why?

What prenatal screening and testing would the nurse anticipate for Nancy in the future related to her age? Why?

What education topics are important for the nurse to discuss with Nancy at this prenatal visit? (list at least 4) Why?