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.

Answer and Explanation

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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Correct Answer is D

Explanation

While gestational diabetes (GDM) can increase the risk of certain complications for the baby, such as macrosomia (large baby) and hypoglycemia after birth, there is no known increased risk for cardiac defects specifically. The other statements are accurate and appropriate for a client newly diagnosed with GDM.

A. Preterm: Before 38 to 40 weeks of gestation if the infant is SGA post-term, beyond 40 to 42 weeks gestation if the infant is LGA B. Preterm: Before 37 weeks of gestation and post-term beyond 42 weeks of gestation; no matter the size for gestational age at birth C. Postterm: After 40 weeks of gestation if the infant is large for gestational age (LGA): beyond 42 weeks if the infant is AGA D. Preterm: Before 34 weeks of gestation if the infant is appropriate for gestational age (AGA); before 57 weeks if the infant is small for gestational age (SCA)

Correct Answer is B

Explanation

The most accurate definition of preterm and post-term infants is based on gestational age at birth. Preterm infants are those born before 37 completed weeks of gestation, and post-term infants are those born after 42 completed weeks of gestation, regardless of their size for gestational age at birth.

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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

You are counseling a client who was just diagnosed at 29 weeks gestational age of having gestational diabetes (GDM) after completing her 3 hour glucose tolerance test. Which statement regarding GDM by the client is false and indicates additional Counseling is required?

Correct Answer is D

Explanation

For clinical purposes, the most accurate definition of preterm and post-term infants is defined as what?

Correct Answer is B

Explanation

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