A pregnant woman is being discharged from the hospital after ...

[Tirant22]

A pregnant woman is being discharged from the hospital after placement of a cerclage because of a history of recurrent pregnancy loss secondary to an incompetent cervix. Discharge teaching should emphasize that
 
  a. Any vaginal discharge should be reported immediately to her care provider.
  b. The presence of any contractions, rupture of membranes, or severe perineal
  pressure should be reported.
  c. She will need to make arrangements for care at home, because her activity level
  will be restricted.
  d. She will be scheduled for a cesarean birth.

Question 2

What should the nurse advise the mother of a 4-year-old child to bring with her child to the outpatient surgery center on the day of surgery?
 
  a. Snacks
  b. Fruit juice boxes
  c. All of the child's medications
  d. One of the child's favorite toys

[Koolkid240]

Answer to Question 1

B
Feedback
A Vaginal bleeding needs to be reported to her primary care provider.
B Nursing care should stress the importance of monitoring signs and symptoms of
preterm labor.
C Bed rest is an element of care. However, the woman may stand for periods of up
to 90 minutes, which allows her the freedom to see her physician. Home uterine
activity monitoring may be used to limit the woman's need for visits and to
safely monitor her status at home.
D The cerclage can be removed at 37 weeks of gestation (to prepare for a vaginal
birth), or a cesarean birth can be planned.

Answer to Question 2

D
Feedback
A The child will be NPO before surgery; therefore including snacks for the child is
contraindicated.
B The child will be NPO before surgery. Unnecessary stress will result when the
child is denied the juice.
C It is not necessary to bring all medications on the day of surgery. The medication
the child has been receiving should have been noted during the preoperative
workup. The parent should be knowledgeable of which medications the child has
been taking if further information is necessary.
D A familiar toy can be effective in decreasing a child's stress in an unfamiliar
environment.