A woman undergoing her first prenatal visit for a current pregnancy is reluctant to discuss her past obstetrical history with the nurse. Which action by the nurse is best?
A.
Document the woman's refusal to answer these particular questions in the chart.
B.
Explain that past obstetrical experiences frequently recur in later pregnancies.
C.
Inform the woman that the clinic cannot provide comprehensive care without a complete history.
D.
Tell the woman that you need the information in order to continue with the prenatal visit.
ANS: B
A complete obstetrical history should cover the current pregnancy as well as all other pregnancies because complications experienced in previous pregnancies often recur. The nurse should gently explain this in a nonthreatening, nonjudgmental manner, focusing on helping the woman obtain the best outcomes possible. Documentation is always an important nursing responsibility, but the nurse needs to act and not just document. Informing the woman that the clinic cannot provide comprehensive care without the history or telling her that she needs to provide more information to continue the visit is judgmental and sounds vaguely threatening.
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