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A Nurse Is Working in the Area of Labor and Birth

Question 14

Multiple Choice
A nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 woman who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, -1 station, and vertex with membranes intact. The patient 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 nurse is working in the area of labor and birth. Her assignment is to take care of a gravida 1 para 0 woman who presents in early labor at term. Vaginal exam reflects the following: 2 cm, cervix posterior, -1 station, and vertex with membranes intact. The patient 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 patient 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 patient write down her request and then call the physician for an order to implement the amniotomy.
C) Instruct the patient that only a physician or certified midwife can perform this procedure.
D) Give the patient an enema to stimulate labor.

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