Helena Alvarez is a pregnant, 19- year

Helena Alvarez is a pregnant, 19- year old Hispanic woman, who arrives at the emergency department of a small rural hospital with severe cramping pains and bleeding. She has no health insurance. There are no maternity services at this hospital and no obstetricians available in the community. There is a tertiary care facility about 100 miles away. How would you determine what options are available for providing care for this young mother? As a nurse, what are your obligations to Helena Alvarez? What assessment data will assist in your decisions? Describe your plan of care, including how you will determine the transfer of care.

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