
A nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, -1 station, and vertex with membranes intact. The client asks the nurse "if she can break her water so that her labor can go faster?" The nurse's response, based on the ethical principle of nonmaleficence, is which of the following?
A) Tell the client that she will have to wait until she has progressed further on the vaginal exam and then she will perform an amniotomy.
B) Have the client write down her request and then call the physician for an order to implement the amniotomy.
C) Instruct the client that only a physician or certified midwife can perform this procedure.
D) Give the client an enema to stimulate labor.
Correct Answer:
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