The nurse manager is planning a presentation on ethical issues in caring for childbearing families. Which example should the nurse manager include to illustrate maternal–fetal conflict?
1. A patient chooses an abortion after her fetus is diagnosed with a genetic anomaly.
2. A 39-year-old nulliparous patient undergoes therapeutic insemination.
3. A family of a child with leukemia requests cord-blood banking at this birth.
4. A cesarean delivery of a breech fetus is court-ordered after the patient refuses.
4
Rationale 1: Abortion is a different type of ethical situation.
Rationale 2: Achieving pregnancy through the use of therapeutic insemination is a form of reproductive assistance, and is not considered a maternal–fetal conflict.
Rationale 3: Cord-blood banking is a different type of ethical situation.
Rationale 4: Maternal–fetal conflict is a special ethical situation where the rights of the fetus and the rights of the mother are considered separately. Coercion by court order to undergo operative delivery is one example of a maternal–fetal conflict that infringes on the autonomy of the mother.
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