Case study: A 32 yr old african american who is 30 weeks pregnant. this is her 3rd pregnancy. Her 1rst pregnancy resulted in a spontaneous abortion at 9 weeks, her second pregnancy was a planned abortion at 16 weeks. homeless, uses meth and heroin, smokes cigarettes. sometimes has to do sex work for food and drugs. sent to planned parenthood for prenatal care . wants to keep this baby. father of baby/ partner is also homeless. vitals BP 157/90 t 99.0 p 92 RR 18 spo2 95% wt 190