Denise is a 30-year-old Black female G0 with a history of seizure disorder who presents to clinic for her annual well visit. She is excited to tell you that she is getting married in 2 months and they are planning to start a family “right away”. Denise went to see her gynecologist last month who told her she was “young and healthy- not to worry, everything will work out fine”. No labs were done at the gyn visit; she hasn’t started prenatal vitamins.