Recommended Preventive Healthcare Guidelines: Table 4 Recommended Care Pregnant Women First Visit Blood pressure Hemoglobin/hematocrit Hepatitis B surface antigen (HbsAG) RPR/VDRL Chlamydia screen Rubella serology or vaccination history D(Rh) typing, antibody screen· Offer CVS(<13 wk)        or amniocentesis(15-18 wk) (age > 35 yr) Offer hemoglobinopathy screening Assess for problem or risk drinking Offer HIV screening Follow-up Visits Blood pressure Urine culture Offer amniocentesis Offer multiple marker testing(15 - 18 wk) Offer serum a - fetoprotein (16-18 wk) Counseling Tobacco cessation; effects of passive smoke Alcohol/other drug· Nutrition, including adequate        calcium intake Encourage breastfeeding Lap/shoulder belts Infant safety car seats STD prevention: avoid high-risk sexual behavior,        use condoms Preventive Medications Multi-vitamin with folic acid