A nurse is assessing a woman in the perinatal clinical with diagnosed cervical insufficiency. The woman is in her 18th week of a viable pregnancy. Which action by the nurse is most appropriate?
A.
Assist with obtaining informed consent for a cerclage.
B.
Draw blood to assess the maternal Rh status.
C.
Facilitate a transvaginal and abdominal ultrasound.
D.
Refer the woman to a perinatal grief specialist.
ANS: A
Because the woman has diagnosed cervical insufficiency, a cerclage is appropriate therapy. This purse-string suture closes the cervix so the uterus can contain the pregnancy. It is usually removed in the 37th week to allow for vaginal delivery. Because it is an invasive procedure, informed consent is required. The other options are not necessary in this situation, although if the woman has unresolved grief following prior spontaneous abortions, a referral would be appropriate.
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