A 31-year-old nulligravida with a body mass index (BMI) of 42 kg/m2 is referred by her primary care provider to your high-risk obstetrics clinic for preconception counseling. Prior to the consultation, you highlight to your obstetric trainee that motivational interviewing with nonstigmatizing terminology avoids negative influences on mood and self-esteem, promoting patient uptake of weight management strategies and a healthy lifestyle.

A 27-year-old primigravida at 11+1 weeks’ gestation by menstrual dating presents for her first visit for routine prenatal care, accompanied by her husband. While discussing the comprehensive medical history with you before you meet the couple, your obstetric trainee mentions that the patient is allergic to penicillin.

During your overnight call duty, a 37-year-old G2P1 with a spontaneous pregnancy presents to the obstetrics emergency assessment unit of your tertiary center at 32+3 weeks’ gestation with pruritis preventing her from sleep. She has no obstetric complaints; cardiotocography initiated upon the patient’s presentation shows a normal fetal heart tracing and uterine quiescence.

A 38-year-old G7P7 is referred by her primary care provider to your high-risk obstetrics clinic for preconception consultation after having angiography and percutaneous coronary intervention (PCI) in your tertiary center for a non-ST elevation myocardial infarction (NSTEMI) 18 months ago. All her children, the youngest aged four years, were delivered vaginally at term prior to emigrating from Africa.

You are seeing a patient referred by her primary care provider for consultation at your tertiary center’s high-risk obstetrics unit. She is a 37-year-old primigravida currently at 13+2 weeks’ gestation with an incidental 7-cm complex right adnexal mass detected last week on routine first-trimester sonography performed at an external center. Although the ultrasound report is not yet available to you, the consultation note confirms a singleton intrauterine pregnancy with normal fetal morphology and low risk of aneuploidy using sonographic markers. Routine serum prenatal investigations are only significant for iron-deficiency anemia.

A 34-year-old G3P2 at 20 weeks’ gestation presents to the A&E (E.R.) department of your tertiary care center with a three-hour history of nausea and vomiting associated with recurrent right upper quadrant pain, no longer alleviated by analgesics.

A patient is referred by her primary care provider for consultation and transfer of care to your high-risk obstetric unit at a tertiary center. She is a 32-year-old primigravida at 15+3 weeks’ gestation with new abnormalities on chest X-ray and a positive sputum smear for acid-fast bacilli, performed as part of investigations for a four-week history of cough and night sweats. You have arranged to see her at the end of your clinic, with appropriate infection precautions. Referral to an infectious disease expert has also been instigated. A copy of the routine maternal prenatal investigations is unavailable at this time. First-trimester sonogram and aneuploidy screen were unremarkable. She has no obstetric complaints.

You are called to the A&E (E.R.) department of your tertiary center to assist in the care of your patient, a 22-year-old primigravida at 14+4 weeks’ gestation who presents, accompanied by her partner, with a six-hour history of nausea, vomiting, and headache since her last consumed six-daily standard drinks of beer yesterday. At last week’s baseline prenatal visit, you learned that medical history is only significant for an alcohol use disorder, for which she was motivated to enroll in a treatment program. Your medical notes indicate a normal body habitus and unremarkable physical exam. Prenatal investigations and first-trimester aneuploidy screening tests were normal. You had prescribed vitamins containing folic acid; the patient was not experiencing nausea or vomiting of pregnancy.

A 30-year-old nulligravida with epilepsy is referred by her primary care provider to your hospital center’s high-risk obstetrics unit for preconception counseling.

A 29-year-old G2P1 at seven weeks’ gestation is referred to your tertiary center for consultation and prenatal care. Obstetric history is significant for fetal growth restriction (FGR) requiring preterm delivery at 33 weeks’ gestation. Her son’s birthweight was 1400 g. The patient’s prenatal care and delivery were at another center, and her medical chart is unavailable at the time of initial consultation.

A 29-year-old primigravida with sickle cell anemia (SCA) is referred by her primary care provider to your tertiary center’s high-risk obstetrics unit for prenatal care of a sonographically confirmed single viable intrauterine pregnancy at 8+2 weeks’ gestation. She has no obstetric complaints.