During cesarean birth consent, the husband offers to sign because the patient is upset. What should the nurse do?

• A. Ask the client to sign the consent form.
• B. Let the husband sign since the patient is upset.
• C. Sign on behalf of the client.
• D. Refuse to obtain consent.

Answer: (A)

Consent for cesarean birth must be given by the patient herself when she has decision-making capacity. A spouse cannot sign on her behalf unless she has designated him as a legally authorized representative or she cannot make decisions. If the patient is upset but alert and oriented, she retains the right to sign after the nurse ensures she understands the procedure, risks, benefits, and alternatives and that the decision is voluntary. The nurse should not allow the husband to sign unless there is a valid legal basis; if there’s any doubt about capacity, assess it and involve a legally authorized representative. Document the discussion and the patient’s signature to confirm informed consent.