A clinical nurse coordinator is teaching a class of nursing students about surgical and postoperative care of the woman who undergoes cerclage. Which nursing student's statement indicates the need for further clarification of the teaching?
1. "Sometimes cerclage can be performed on an outpatient basis."
2. "If cerclage is performed emergently, the woman will usually be hospitalized for at least five days."
3. "If the woman's amniotic sac is bulging, the cerclage is contraindicated and the procedure cannot be performed."
4. "After 37 weeks' gestation, the woman's cerclage may be cut in order to allow for vaginal delivery."
Correct Answer: 3
Rationale 1: An uncomplicated elective cerclage may be done on an outpatient basis or the woman may be hospitalized and discharged after 24 to 48 hours. An emergency cerclage, however, requires hospitalization for 5 to 7 days or longer.
Rationale 2: An uncomplicated elective cerclage may be done on an outpatient basis or the woman may be hospitalized and discharged after 24 to 48 hours. An emergency cerclage, however, requires hospitalization for 5 to 7 days or longer.
Rationale 3: Decompression of a bulging amniotic sac is not a contraindication to cerclage; rather, the amniotic sac must be decompressed immediately before the procedure.
Rationale 4: After 37 completed weeks' gestation, the suture may be cut and vaginal birth permitted, or the suture may be left in place and a cesarean birth performed.
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