A client tells the nurse she is to have a cerclage and wants to know why the doctor is going to do this. The nurse provides education about a cerclage. Which statement indicates teaching needs to be reinforced?
"A cerclage is a suture placed on the cervix"
"A cerclage will prevent preterm labor
“'A cerclage is done to help prevent the cervix from dilating too early."
"A cerclage is done because I have had spontaneous abortions in the past because my cervix opened too early"
The Correct Answer is B
A. A cerclage is a surgical procedure in which a suture is placed around the cervix to prevent it from dilating prematurely, typically done in women with a history of cervical insufficiency or preterm labor.
B. A cerclage does not prevent preterm labor itself but helps to prevent early cervical dilation, which could lead to preterm labor.
C. A cerclage is done to prevent cervical dilation that occurs too early in pregnancy, especially in women with a history of spontaneous abortions due to cervical insufficiency.
D. Cerclage is often recommended for women with a history of spontaneous abortions, particularly those caused by cervical incompetence or early dilation.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Rationale:
A. Ensuring a calm environment by minimizing excessive stimuli is important for the safety and well-being of the patient.
B. Asking about drug use is essential to understand potential risks and provide appropriate care.
C. Administering sedatives to a combative patient without assessing the situation further could be dangerous. It could harm the patient and fetus, especially if drug use or psychological disorders are suspected.
D. Performing a vaginal exam is necessary to assess bleeding and determine if there are any signs of preterm labor or other complications.
Correct Answer is D
Explanation
A. Tubal damage from hyperglycemia: Hyperglycemia, often seen in diabetes, can affect reproductive health but is more commonly associated with issues like poor implantation or uterine environment rather than direct tubal damage.
B. Tubal damage from migraine headaches: Migraine headaches do not cause direct tubal damage or infertility. They may impact overall health and stress levels but are not linked to structural damage in the reproductive tract.
C. Tubal damage from fibromyalgia: Fibromyalgia is a chronic condition causing widespread pain and fatigue but does not directly cause tubal damage.
D. Tubal damage from PID: Pelvic inflammatory disease is a leading cause of infertility due to the inflammation and scarring it can cause in the fallopian tubes, which can block or damage them, preventing fertilization.
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