The nurse is educating the pregnant woman at 13 weeks’ gestation with a newly placed cerclage. The nurse tells the patient to contact the provider if which events occur? Select all that apply.

Vaginal fluid leakage , Pelvic pain, tenderness, and fullness. Mild abdominal cramping is normal and should go away after 24 hours. Abdominal pain, on the other hand, is not normal. Pelvic pain, tenderness, and fullness could indicate an infection around the cerclage. The device will need to be removed. Fluid leaking from the vagina is an ominous sign and suggests the amniotic sac has ruptured. A bit of spotting is not unusual and is not worrisome. Heavy bleeding, of course, is a concern. Lastly, fetal quickening (the first fetal movements) are only beginning to occur at 13 weeks and may not be felt until 16 or even 20 weeks of gestation. Fetal movement should not be discussed in relation to the cerclage at this time.

The nurse is educating the pregnant woman at 13 weeks’ gest...

Category: Reduction of Risk Potential
Difficulty: 6

Topics: Communication & Documentation Labor and Delivery Patient Education Prenatal Care Sexuality and Reproduction

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