Maria is a forty-one-year-old Caucasian woman who is expecting her first baby. Eight weeks into the pregnancy, it becomes clear that she is likely to have a miscarriage. She really wants the baby and may be very upset at the idea of a miscarriage, especially because she fears she may not become pregnant again. Think of how her physician should break the bad news in a way that would acknowledge Maria’s feelings and set realistic expectations. Use role-playing to simulate the actual discussion, and try to envision some of Maria’s potential questions. Evaluate the pros and cons of potential physician approaches and attitudes toward communication on this matter.