The nurse is working in a prenatal clinic. The first patient is a 21 yo. who is 12 weeks pregnant having her first baby. During the history the nurse discovers that she has a cat at home, and she is not stable relationship. She states she has had multiple partners and is uncertain who is the father of her baby. This is her first prenatal visit and she has lab work done. While all lab results are important the nurse will look closely at which of the following results based upon this history? (Select all that apply. Partial Credit will be given).

A. The Glucose Tolerance Test is usually performed later in pregnancy (around 24-28 weeks) to screen for gestational diabetes, so it is not a primary concern at 12 weeks.

B. Given the patient's history of multiple partners and uncertainty about the father, HIV screening is important to prevent mother-to-child transmission and provide early treatment.

C. Urine glucose is typically monitored later in pregnancy for gestational diabetes, but it is not immediately prioritized based on this history.

D. The Rubella Titer is important, but it is less immediately critical than HIV, STDs, or toxoplasmosis, given the patient’s risks.

E. Toxoplasmosis screening is necessary because handling cat litter can expose the mother to the risk of toxoplasmosis, which can harm the fetus.

F. Vaginal cultures for STDs are important given the patient’s multiple partners, as untreated STDs can lead to complications like preterm birth or neonatal infections.

G. Maternal Serum Fetal Alphaprotein is typically used for screening for neural tube defects later in pregnancy and is not an immediate concern.