Hi Brian,
1. As for the MPAK package, it is necessary to connect only the following pins:
1 – GND
2 – +Vout
3 – Vs
4 – -Vout
The 5th pin has no internal connection, but you can provide a pad for it.
2&3. A recommended approach is to use an instrumentation amplifier to translate the sensor’s differential output into a single ended analog signal. For instance, the INA122 instrumentation amplifier is inexpensive, widely available and the only thing you need to do to set the gain is choose a gain resistor.
I hope it helps.
Regards,
Tomas
PS: If my answer helps to solve your question, please mark it as "Correct". Thank you.