Clinical Scenarios
A 21-year-old patient (she/her) presents to your health center after a positive home urine pregnancy test last week. Based on a sure last menstrual period (LMP), the patient currently has an estimated gestational duration of 6 weeks. When you ask how she's feeling about being pregnant, she pauses and says, "Honestly? I don't know. I think I could see myself going either way. I just don't know what the right thing to do is."
She has a 3-year-old at home, a job she's not sure allows for more time off, and a partner she describes as "supportive but not pushing me either way." She denies urgent safety concerns and has no significant medical history.