10-25-2007, 07:34 AM
A 24-year-old woman comes to the office for an initial prenatal visit. A home pregnancy test was positive 2 weeks ago. Her last menstrual period was 10 weeks ago. She has been healthy and has no significant medical history. She takes no medications. During the interview she becomes tearful and says, "My husband hit me several times 6 weeks ago and I'm afraid that it may happen again. He's become very loving now since he found out about the baby, but I'm still worried." Vital signs now are: temperature 36.9°C (98.4°F), pulse 80/min, respirations 20/min and blood pressure 110/70 mm Hg. Pelvic examination shows a 10-week size uterus and is otherwise normal. Ultrasonography confirms a 10-week gestation. Which of the following strategies is most appropriate?
A
) Provide her with the name and phone number of a shelter for battered women
B
) Reassure the patient that abusive behavior is less likely now that she is pregnant
C
) Recommend marital counseling
D
) Schedule an appointment with the husband to discuss his abusive behavior
E
) Tell her that you will report this to the police if it happens again
-A sounds good but then she has to decide to report or not-C good then.
A
) Provide her with the name and phone number of a shelter for battered women
B
) Reassure the patient that abusive behavior is less likely now that she is pregnant
C
) Recommend marital counseling
D
) Schedule an appointment with the husband to discuss his abusive behavior
E
) Tell her that you will report this to the police if it happens again
-A sounds good but then she has to decide to report or not-C good then.