A pregnant woman is being discharged from the hospital after the placement of a cervical cerclage because of a history of recurrent pregnancy loss, secondary to an incompetent cervix. Which information regarding postprocedural care should the nurse emphasize in the discharge teaching?
Any vaginal discharge should be immediately reported to her health care provider.
The presence of any contractions, rupture of membranes (ROM), or severe perineal pressure should be reported.
The client will be scheduled for a cesarean birth.
The client will need to arrange for care at home because her activity level will be restricted.
The Correct Answer is B
The information that the nurse should emphasize in the discharge teaching for a pregnant woman who has undergone a cervical cerclage due to an incompetent cervix is that the presence of any contractions, rupture of membranes (ROM), or severe perineal pressure should be reported to her healthcare provider immediately. This is because these symptoms could indicate cervical dilation or premature labor, which can lead to pregnancy loss or other complications.
Reporting any vaginal discharge is important, but it is not the most critical symptom to monitor for after cervical cerclage placement. Vaginal discharge is common after cervical cerclage and can occur for several weeks without posing a significant risk to the pregnancy.
A cesarean birth may or may not be necessary depending on the patient's individual circumstances and the course of the pregnancy. It is not a given that all women with cervical cerclage require a cesarean delivery.
While some activity restrictions may be necessary after cervical cerclage placement, it is not necessary for the patient to arrange for care at home. Many women are able to manage their daily activities with appropriate precautions and guidance from their healthcare provider.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Epidural blocks are commonly used during labor to provide pain relief. However, they can also cause a sudden drop in blood pressure, known as epidural-induced hypotension, which can affect fetal oxygenation and fetal heart rate. Therefore, it is important to monitor maternal blood pressure frequently after an epidural block is administered.
While monitoring the maternal pulse is also important, hypotension is the most common complication of epidural anesthesia and can lead to decreased blood flow to the fetus. Therefore, monitoring maternal blood pressure is the priority.
Monitoring the fetus is also important, but it is not the most important intervention after an epidural block. Limiting parenteral fluids may be necessary in some cases to help prevent or treat hypotension, but it is not always necessary and should be done based on the individual situation.
Correct Answer is D
Explanation
It is recommended for all diabetic women of childbearing age. (This statement is not entirely accurate as preconception care is recommended specifically for women with diabetes who are considering pregnancy, not all women of childbearing age.)
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