A nurse is helping a pregnant woman prepare for a planned home birth. What action by the nurse takes priority?
A.
Advising the woman to get a prescription for pain medication filled beforehand
B.
Attempting to convince the woman that giving birth at the hospital is a better choice
C.
Ensuring the woman has safe, rapid, and available transportation to a nearby hospital
D.
Giving the woman a list of local obstetricians who will assist at a home birth
ANS: C
Home births are an option for women who have low-risk pregnancies and no labor complications. However, according to a position statement by the American College of Obstetrics and Gynecology (ACOG), women who choose to deliver at home should be well- informed and should ensure access to rapid and timely transportation to the closest hospital in case of emergency (ACOG, 2011). Obstetricians will not deliver babies at home. Although pain management may be an important consideration, this is not as important as ensuring the safety of both mother and baby. Trying to convince the woman to go against her beliefs is disrespectful.
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