An 18-year-old Primigravida presents to Labor and delivery with what appears to be active labor. Upon questioning you discover that she has received no prenatal care. In obtaining some history while placing her on the fetal monitor you learn she is a smoker, approximately 1 pack per day, occasional marijuana for stress,, and denies any support system. The Father of the baby (FOB) has no knowledge of the pregnancy. She does not take prenatal vitamins. She states “They were too hard to swallow”. She has no idea when her LMP was and she relates always being irregular. * remember LMP is to ask the first day of her Last Menstrual not when the bleeding stopped.


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