Birth defects are the leading cause of infant mortality. Prenatal caregivers must educate all prenatal clients on optional genetic screening tests for fetal aneuploidy in order for the client to make an informed choice, and recent new tests have made this more challenging. The purpose of this project was to measure the level of informed choice women report after making a decision on whether or not to have optional genetic screening, using the Multidimensional Measure of Informed Choice (MMIC), at a Midwestern private OB-GYN office. This capstone project included 26 prenatal clients. Seventy-five percent of the the prenatal clients had good knowledge and 57 percent made an informed choice. Based on this information, a provider educational toolkit on prenatal genetic screening was developed. For research sustainability, a follow-up evaluation will be conducted post tool-kit implementation.