'Karen' is a new nurse practitioner who has just started her first NP position in a family practice clinic in a small town.

'Karen' is a new nurse practitioner who has just started her first NP position in a family practice clinic in a small town. She sees "Susan Ruttley," a 29-year-old primigravida woman who is newly pregnant (5 weeks since last menstrual period) and wants to initiate prenatal care. Susan is married but presents alone, stating that her husband is not yet aware of the pregnancy