A pregnant woman has a midpelvis pelvimetry measurement of 3.8 inches (9.65 cm). What action by the labor and delivery nurse is most important?
A.
Encourage attendance at childbirth classes.
B.
Explain that vaginal birth will be possible.
C.
Instruct her to drink 10 glasses of water daily.
D.
Obtain consent for possible cesarean delivery.
ANS: D
Pelvimetry measurements demonstrate the feasibility of a vaginal birth. The minimum measurement for the midpelvis (which is the narrowest lateral portion of the female pelvis) is 4.7 inches (12 cm). Pelvimetry measurements may not be accurate for several reasons, and despite findings, in most situations, the woman is allowed a trial of labor. As the joints of the pelvis soften and become more mobile, a vaginal delivery might still be possible. The nurse should obtain consent for a possible cesarean delivery. All pregnant women should attend childbirth preparation classes. The nurse should not guarantee that a vaginal birth can occur. Drinking water is not related.
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