Final answer:
The woman in this scenario is at risk for not obtaining adequate prenatal care.
Step-by-step explanation:
The woman in this scenario is at risk for not obtaining adequate prenatal care (option D).
During the first prenatal visit, the nurse assesses the woman's health and identifies any risk factors that may affect the pregnancy. In this case, the woman's age of 42 puts her at a higher risk for complications during pregnancy. Advanced maternal age is associated with increased risks such as gestational diabetes, high blood pressure, and preterm birth. Therefore, it is crucial for the woman to receive regular prenatal care to monitor and manage these risks.