Which statement best describes the recommended approach to radiographs for pregnant patients?

• A. Do not shield the abdomen to avoid artifacts.
• B. Use shielding of the abdomen, minimize dose, image only when clinically necessary, and document pregnancy status.
• C. Increase exposure to obtain higher image quality.
• D. Schedule imaging only after delivery.

Answer: (B)

Protecting the fetus while obtaining the needed diagnostic information is the guiding idea. Shielding the abdomen helps reduce fetal radiation exposure, and it should be used when it won’t obscure important anatomy. At the same time, apply ALARA by using the lowest feasible exposure, proper collimation, and avoiding repeats to minimize dose. Imaging should be done only when there is a clear clinical need, and alternatives such as ultrasound or MRI can be considered when appropriate to avoid ionizing radiation. Documenting pregnancy status ensures the team knows to tailor protection and technique and to inform the patient about risks and necessity. In emergencies where imaging is truly necessary for the mother or fetus, proceed with precautions rather than delaying until after delivery. This combination—abdomen shielding, dose minimization, imaging only when clinically necessary, and document pregnancy status—best guides safe radiography for pregnant patients.