The perinatal nurse in the birthing unit is aware that according to the Emergency Medical Treatment and Active Labor Act (EMTALA), pregnant women should receive care for problems such as which of the following? (Select all that apply.)
A. A history of recent trauma
B. Contractions that occur 20 minutes apart
C. Decreased fetal movement
D. Rupture of the membranes
E. Sexually transmitted infections
ANS: A, C, D
The federal regulation known as the Emergency Medical Treatment and Active Labor Act (EMTALA) was created to ensure that all women receive emergency treatment or active labor care whenever such treatment is sought. The nurse who is working in a birthing unit must be familiar with the full range of responsibilities included in the EMTALA regulations: (1) provide services to pregnant women when an urgent pregnancy problem such as labor, rupture of the membranes, decreased fetal movement, or recent trauma is experienced; and (2) fully document all relevant information to include assessment findings, interventions implemented, and the patient's response to the care provided. Treatment would not be required for women whose contractions are 20 minutes apart or who may have sexually transmitted infections.
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