A client arrives to OB triage at 37 weeks gestation with a known complete placenta previa this pregnancy.
She reports feeling some inconsistent contractions over the last 4 hours and wants to know if she is in labor.
The client asks the nurse why the provider did not perform a vaginal exam.
What is the most appropriate answer by the nurse?

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. .

Choice A rationale

Ibuprofen is not recommended during pregnancy, especially in the later stages, as it can cause harm to the fetus and affect amniotic fluid levels.

Choice B rationale

While hydration is crucial for managing Hyperemesis Gravidarum, 0.9% Sodium Chloride alone won't address the underlying symptoms like nausea and vomiting effectively.

Choice C rationale

Magnesium Sulfate is typically used to prevent seizures in preeclampsia, not for Hyperemesis Gravidarum.

Choice D rationale

Pyridoxine (vitamin B6) is often recommended for Hyperemesis Gravidarum as it can help reduce nausea and vomiting.