Inc4802 Exam Prep 2023 (Oct-Nov-2019,2021,2022)

A nurse is assessing a client with a tentative diagnosis of a Hydatidiform mole. Which clinical finding should the nurse anticipate? A. Hypotension B. Decreased FHR. C. Unusual uterine enlargement. D. Painless, heavy vaginal bleeding. {Ans: C. Unusual uterine enlargement.}What are the risk factors for incompetent cervix (cervical insufficiency)? {Ans: 1. Previous cervical trauma/procedures: Colposcopy or Leep procedure (electrosurgical excision of abnormal cells on the cervix) can weaken the cervix. 2. Multiple gestations: More babies in the uterus means more pressure on the cervix. 3. History of very short labors: If the mother has a HX of very short labors, it could mean that she is dilating very quickly or she has an incompetent cervix. 4. DES use during pregnancy: DES was a hormone used 30-45 years ago for mothers that were recurrent SABs to help them stay pregnant. It worked but for the mothers of girls, it caused the girls to have abnormal reproductive tracts, increasing the girl's risk of having an incompetent cervix.}When is a cerclage usually removed? {Ans: Once cerclage is placed, the goal is to maintain the pregnancy as long as possible. It is usually snipped at about 36/37 weeks to allow normal