Reference no: EM133692097

Question 

A certified nurse midwife has been practicing for several years in an urban women's health clinic. A teenage patient who is 28 weeks pregnant comes to the clinic to seek prenatal care. She is afraid of letting her parents know about the pregnancy and has kept her pregnancy hidden. She has not sought prenatal care, but she has been taking prenatal vitamins. She complains of intermittent cramping and spotting for 1 week. Determine the appropriate plan of action by the CNM. Call the patient's insurance company to ensure that her parents can be made aware of the pregnancy Educate the patient that the symptoms are normal, and have her follow up in 2 weeks Assume the care of the patient without seeking assistance from an OB-GYN physician Prescribe prenatal vitamins, and refer the patient to the CNM's collaborating physician.