A woman, G4P0210, and 12 weeks' gestation has been admitted to labor and delivery for a cerclage procedure. Which of the following long-term goals for this patient would we anticipate by doing this procedure?
The patient will deliver a baby that is appropriate for gestational age
The patient will have a normal blood glucose throughout the pregnancy
The patient will deliver after 38 weeks' gestation
The patient will gain less than 25 pounds during the pregnancy
The Correct Answer is C
A. The patient will deliver a baby that is appropriate for gestational age. While cerclage helps prevent preterm birth, it does not directly influence fetal growth or ensure that the baby will be appropriate for gestational age (AGA). Factors such as maternal nutrition, placental function, and genetics play a larger role in fetal growth.
B. The patient will have a normal blood glucose throughout the pregnancy. Cerclage is performed to prevent cervical insufficiency and preterm birth, not to regulate blood glucose. Maintaining normal blood sugar levels is important for pregnancy outcomes but is unrelated to this procedure.
C. The patient will deliver after 38 weeks' gestation. The primary goal of a cerclage is to prevent preterm birth by reinforcing the cervix and allowing the pregnancy to progress to term. Women with a history of second-trimester pregnancy losses or cervical insufficiency benefit from this procedure to increase the likelihood of delivering at or near term.
D. The patient will gain less than 25 pounds during the pregnancy. Weight gain recommendations are based on maternal BMI and nutritional status, not the need for a cerclage. The procedure does not directly affect maternal weight gain.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
A. The patient will deliver a baby that is appropriate for gestational age. While cerclage helps prevent preterm birth, it does not directly influence fetal growth or ensure that the baby will be appropriate for gestational age (AGA). Factors such as maternal nutrition, placental function, and genetics play a larger role in fetal growth.
B. The patient will have a normal blood glucose throughout the pregnancy. Cerclage is performed to prevent cervical insufficiency and preterm birth, not to regulate blood glucose. Maintaining normal blood sugar levels is important for pregnancy outcomes but is unrelated to this procedure.
C. The patient will deliver after 38 weeks' gestation. The primary goal of a cerclage is to prevent preterm birth by reinforcing the cervix and allowing the pregnancy to progress to term. Women with a history of second-trimester pregnancy losses or cervical insufficiency benefit from this procedure to increase the likelihood of delivering at or near term.
D. The patient will gain less than 25 pounds during the pregnancy. Weight gain recommendations are based on maternal BMI and nutritional status, not the need for a cerclage. The procedure does not directly affect maternal weight gain.
Correct Answer is A
Explanation
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