A 27-year-old patient comes to the office for prenatal care. Her last menstrual period was

A 27-year-old patient comes to the office for prenatal care. Her last menstrual period was six weeks ago. The patient is Gravida 2, Para 1, with one normal vaginal delivery, and has a 5-year-old son in kindergarten. She has a past medical history of alcohol abuse when she was an adolescent, but she has been attending Alcoholics Anonymous and has not had any alcohol for seven years. Laboratory results include the following: urine pregnancy positive; hemoglobin 14.3 g/dL [Normal: 11.6-13.9 g/dL]; Hepatitis B antibody negative; HIV serology negative; Rh negative; rubella titer negative. Which of the following is the most appropriate next step? O Influenza vaccine Rhogam O Rubella immunization Tdap Varivax

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