The nurse manager in a perinatal clinic is reviewing research related to care of patients with cervical insufficiency and preterm birth. What practice change might result from this review of the literature?
A.
Administering fewer doses of Rho(D) immune globulin (RhoGAM)
B.
Decreased utilization of cerclage placement in women with preterm labor
C.
Measuring serial cervical lengths in all women pregnant with singletons
D.
Providing betamethasone (Celestone) as long-term therapy
ANS: B
According to a meta-analysis by Berghella and Mackeen (2011), singleton gestations in women with prior preterm birth might be monitored safely with transvaginal ultrasound cervical length screening, and they suggested that cerclage placement be reserved for the minority of women who actually develop a short cervical length. Administration of RhoGAM is not related. Only women with a history of preterm birth need cervical length measurement according to current practice. Celestone is not used for long-term therapy.
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