CNM Certified Nurse Midwife

Category - Professional Issues

Before discharging a pregnant client against medical advice (AMA), which of the following actions by the nurse midwife is the most appropriate?
  1. Inform the client that she may not come back to the facility if complications occur.
  2. Ensure that the client is aware of the risks of leaving the facility.
  3. Inform the ethics committee about the client’s case.
  4. Inform the client that follow-up care is not possible after discharge.
Explanation
Answer: B - Before discharging a client AMA, the nurse midwife should ensure that the client is aware of the risks of leaving the facility. The nurse midwife should also inform the client that she can come back to the facility any time. Follow-up appointments should be arranged before discharge.
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