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A 28-Year-Old Woman Arrives at the Office for a Routine

Question 45

Multiple Choice

A 28-year-old woman arrives at the office for a routine pregnancy checkup. Her pregnancy has been progressing well, and the patient is overjoyed to be having a baby after years of trying to conceive. Her and her husband's marriage suffered greatly as they went through many failed reproductive procedures. During the visit, the doctor requests blood testing and administers a 1-hour glucose challenge test. When this is disclosed, the patient feels concerned and begins to inquire about the aim of the tests. When questioned about her worries, she reveals that the fetus is not her husband's kid.   Her husband is also the physician's patient, and she asks the physician not to tell him about this because "it will ruin everything."  Which of the following is the most appropriate response by the physician?


A) I am obligated to tell him as he is my patient and it is in his best interest to know.
B) I will not inform your husband, but please consider telling him the truth.
C) I will not tell him, but I am obligated to inform the biological father.
D) I will not tell him, but keeping this from your husband will have many negative effects.
E) I will not tell your husband.

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