Sonia, an 18-year-old woman, is single and 14 weeks pregnant. Her first prenatal visit was made at the urging of her aunt, who uses the clinic. Sonia reluctantly admitted to the clinic nurse that the...

Sonia, an 18-year-old woman, is single and 14 weeks pregnant. Her first prenatal visit was made at the urging of her aunt, who uses the clinic. Sonia reluctantly admitted to the clinic nurse that the pregnancy was unplanned. She consumes alcohol two to three times a week, frequently as much as six 12-ounce cans of beer and 16 ounces of wine, and she smokes one pack of cigarettes a day. She has tried a variety of street drugs in the last 3 months but does not use any on a regular basis. The clinic nurse believed that Sonia might not return for regular prenatal care and made a referral to the P/CHN for follow-up home visits to assess Sonia’s home environment and teach prenatal care and preparation for the infant. You have been assigned the case. Design a plan of care to address Sonia’s needs. What specific services and programs might you recommend? What barriers might exist? How would the prenatal and postpartum teaching delivered to Sonia differ from care needed by other single teens?