A Nurse Midwife Assesses a Client in Labor

Multiple Choice

A nurse midwife assesses a client in labor. Combined abdominal inspection and palpation and sonography indicate that the occiput of the fetus is the presenting part. The nurse midwife also finds out that there is a disproportion between the fetus and the client's pelvis. The history of the client's pregnancy is not remarkable. Routine screening tests suggested good fetal well-being. Which of the following statements made by the nurse midwife is the most appropriate when informing the client about the findings?

A) "Your pelvis is too small for the baby's head. Your baby cannot be born vaginally."
B) "Your baby's head is too large for your pelvis. You should consider a cesarean birth."
C) "We're considering a cesarean birth. Tell me how you feel about that."
D) "Your baby cannot be born vaginally. Do not worry much about it. We'll do everything to keep you and your baby safe."