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?

Question

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).

Answer 1

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.