The nurse is explaining to a new prenatal patient that the certified nurse–midwife will perform clinical pelvimetry as a part of the pelvic exam
The nurse knows that teaching has been successful when the patient states, "The certified nurse–midwife will perform this examination because: 1. "It will help us know how big a baby I can deliver vaginally."
2. "Doing this exam is a part of prenatal care at this clinic."
3. "My sister had both of her babies by cesarean."
4. "I am pregnant with my first child."
1
Rationale 1: Clinical pelvimetry is an estimate of the diameter of the pelvis the baby fits through during birth. The estimated size of the pelvis helps estimate what size fetus the patient can deliver vaginally.
Rationale 2: Although this is a true statement, the estimation of the pelvis size is a better indication of the patient's understanding.
Rationale 3: Knowing that the patient's sister had her babies by cesarean would not indicate that the patient understood the teaching.
Rationale 4: Clinical pelvimetry is done with the first pregnancy, but the patient's stating that this is her first child does not indicate that the patient understood the teaching.
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