The 26-year-old primiparous patient is having her initial prenatal appointment. The patient reports to the nurse that she suffered a pelvic fracture in a car accident 3 years ago
The patient asks whether her pelvic fracture might affect her ability to have a vaginal delivery. What response by the nurse is best? 1. "It depends on how your pelvis healed."
2. "You will need to have a cesarean birth."
3. "Please talk to your doctor about that."
4. "You will be able to delivery vaginally."
1
Rationale 1: Displaced pelvic fractures can heal in such a way that leads to a contracture or diminished diameter of the pelvis. Nondisplaced fractures can heal and maintain adequate diameters for birth.
Rationale 2: Not all patients will be able to deliver vaginally, but not all will need cesarean birth.
Rationale 3: It is not therapeutic to tell a patient to talk to someone else.
Rationale 4: Not all patients will be able to deliver vaginally, but not all will need cesarean birth.
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