The clinical instructor reviews postoperative care of cerclage with a group of nursing students. Which student statement indicates the need for further information?
1. "Sometimes cerclage can be performed on an outclient basis."
2. "If cerclage is performed emergently, the client will usually be hospitalized for at least 5 days."
3. "After 37 weeks' gestation, the client's cerclage may be cut in order to allow for vaginal delivery."
4. "If the client's amniotic sac is bulging, the cerclage is contraindicated and the procedure cannot be performed."
4
Explanation:
1. An uncomplicated elective cerclage may be done as an outclient.
2. An emergency cerclage requires hospitalization for 5 to 7 days or longer.
3. 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.
4. Decompression of a bulging amniotic sac is not a contraindication to cerclage; rather, the amniotic sac must be decompressed immediately before the procedure.
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