A 24 year old pregnant women at 26 weeks gestation is experiencing her third pregnancy. the patients obstetric history includes one full term birth and one preterm birth; both children are alive and well. today, the patient arrives at the clinic with complaints of fatigue, insomnia, and backache. she reports that she is a nurse on the oncology unit and is worried about continuing to work her 12 hour shifts. the perinatal nurse identifies concerns in the patient's history and work environment, including: (select all that apply)