A client is at risk for a spontaneous abortion at 14 weeks gestation.
The client's two previous pregnancies were miscarriages in the same gestational time frame.
The client states, "They want to sew my cervix shut.”. The nurse shares the terminology for surgical treatment of an incompetent cervix.
Which of the following would the nurse explain?
Aminoinfusion.
Hysterectomy.
Cerclage.
Beta-adrenergic agonist therapy.
The Correct Answer is C
Choice A rationale
Aminoinfusion is a procedure where fluid is infused into the amniotic sac. It is used to treat certain complications during labor but is not related to treating an incompetent cervix.
Choice B rationale
Hysterectomy is a surgical procedure to remove the uterus and is not a treatment for an incompetent cervix. It is typically performed for conditions such as cancer, severe bleeding, or other significant uterine issues.
Choice C rationale
Cerclage is the correct term for the surgical procedure used to treat an incompetent cervix. It involves stitching the cervix closed to prevent premature dilation, which can lead to miscarriage or preterm birth.
Choice D rationale
Beta-adrenergic agonist therapy is used to delay preterm labor by relaxing the uterus but does not address the structural issue of an incompetent cervix. It is a medication-based approach rather than a surgical one. .
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is ["A","B","D"]
Explanation
Choice A rationale
Vaginal spotting can be an early sign of preterm labor as it may indicate changes in the cervix.
Choice B rationale
Regular contractions occurring every 10 minutes or less suggest the onset of labor.
Choice C rationale
Weight gain is not a sign of preterm labor and is common in normal pregnancy progression.
Choice D rationale
Lower back pain or pelvic pressure can indicate preterm labor as these symptoms reflect changes in the lower uterus and cervix.
Correct Answer is D
Explanation
Choice A rationale
Nausea is typically present in patients with a hydatidiform mole due to high hCG levels.
Choice B rationale
Category II fetal heart rate patterns are indicative of intermediate fetal compromise but are not specific to hydatidiform mole.
Choice C rationale
hCG levels are typically elevated, not decreased, in a hydatidiform mole due to the abnormal growth of trophoblastic tissue.
Choice D rationale
An enlarged uterus is a classic sign of a hydatidiform mole due to the overgrowth of placental tissue without a viable fetus.
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