A 23-Year-Old Lady, 8 Weeks Pregnant, Arrives at the Office

A 23-year-old lady, 8 weeks pregnant, arrives at the office for her first prenatal checkup. There is no vaginal bleeding or pelvic discomfort in the patient. On inspection, bruising in various stages of healing can be visible on the chest and belly. When questioned about the marks, the woman claims that her lover used to punch her during disagreements and was originally enraged by the pregnancy. He has been more helpful in the last three weeks, purchasing pregnancy vitamins and providing massages. An ultrasound reveals an 8-week intrauterine pregnancy and a normal fetal heart rate. Which of the following is the most suitable next step in this patient's care?

A) Advise the patient to stay with a relative for the duration of the pregnancy
B) Provide information about a domestic violence program
C) Recommend the patient file a restraining order against her boyfriend
D) Refer the patient and her boyfriend to couples' counseling
E) Suggest the patient bring her boyfriend to the next appointment

Correct Answer:

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