This topic contains a solution. Click here to go to the answer

Author Question: The nurse manager in a perinatal clinic is reviewing research related to care of patients with ... (Read 27 times)

corkyiscool3328

  • Hero Member
  • *****
  • Posts: 539
The nurse manager in a perinatal clinic is reviewing research related to care of patients with cervical insufficiency and preterm birth. What practice change might result from this review of the literature?
 
  A.
  Administering fewer doses of Rho(D) immune globulin (RhoGAM)
  B.
  Decreased utilization of cerclage placement in women with preterm labor
  C.
  Measuring serial cervical lengths in all women pregnant with singletons
  D.
  Providing betamethasone (Celestone) as long-term therapy

Question 2

A woman is being dismissed after undergoing placement of a cerclage. The woman is married with a husband who travels frequently and the couple has two other children. Which action by the nurse is most helpful?
 
  A.
  Arrange for the visiting nurse to administer IV antibiotics.
  B.
  Educate the woman on the need for strict bedrest.
  C.
  Enlist the services of a social worker to help her plan care for her other children.
  D.
  Teach the woman about the side effects of metachlopramide (Reglan).



Related Topics

Need homework help now?

Ask unlimited questions for free

Ask a Question
Marked as best answer by a Subject Expert

Mochi

  • Sr. Member
  • ****
  • Posts: 300
Answer to Question 1

ANS: B
According to a meta-analysis by Berghella and Mackeen (2011), singleton gestations in women with prior preterm birth might be monitored safely with transvaginal ultrasound cervical length screening, and they suggested that cerclage placement be reserved for the minority of women who actually develop a short cervical length. Administration of RhoGAM is not related. Only women with a history of preterm birth need cervical length measurement according to current practice. Celestone is not used for long-term therapy.

Answer to Question 2

ANS: C
After cerclage placement, bedrest is necessary. It is often difficult for a woman to maintain bedrest, especially if she has other children. A social worker can be helpful in assisting the woman to make contact with support organizations and in developing a working plan to care for the other children and household obligations. IV antibiotics are not routinely needed. Education on bedrest is important, but without acknowledging and acting on the profound disruptions that it can cause for a family, education alone is likely to be unsuccessful in promoting bedrest. Metachlopramide is used for nausea.





 

Did you know?

The tallest man ever known was Robert Wadlow, an American, who reached the height of 8 feet 11 inches. He died at age 26 years from an infection caused by the immense weight of his body (491 pounds) and the stress on his leg bones and muscles.

Did you know?

Oxytocin is recommended only for pregnancies that have a medical reason for inducing labor (such as eclampsia) and is not recommended for elective procedures or for making the birthing process more convenient.

Did you know?

Studies show that systolic blood pressure can be significantly lowered by taking statins. In fact, the higher the patient's baseline blood pressure, the greater the effect of statins on his or her blood pressure.

Did you know?

The largest baby ever born weighed more than 23 pounds but died just 11 hours after his birth in 1879. The largest surviving baby was born in October 2009 in Sumatra, Indonesia, and weighed an astounding 19.2 pounds at birth.

Did you know?

Cancer has been around as long as humankind, but only in the second half of the twentieth century did the number of cancer cases explode.

For a complete list of videos, visit our video library