The patient at 14 weeks' gestation has undergone a transvaginal ultrasound to assess cervical length. The ultrasound revealed cervical funneling. How should the nurse explain these findings to the patient? "Your cervix:
1. "Has become cone-shaped and more open at the end near the baby."
2. "Is shortened, and you will deliver your baby prematurely."
3. "Is short, and has become wider at the end that extends into the vagina."
4. "Was beginning to open but now is starting to close up again."
1
Rationale 1: Transvaginal ultrasound involves inserting a small transducer into the vagina to perform the ultrasound exam. Cervical funneling is a widening of the portion of the cervix that attaches to the uterus. The outer os of the cervix can be closed while the upper portion is dilating. This can be an indicator of an incompetent cervix or preterm labor.
Rationale 2: The outer os of the cervix can be closed while the upper portion is dilating. This can be an indicator of an incompetent cervix or preterm labor.
Rationale 3: Transvaginal ultrasound involves inserting a small transducer into the vagina to perform the ultrasound exam. Cervical funneling is a widening of the portion of the cervix that attaches to the uterus.
Rationale 4: Cervical change in pregnancy is progressive, and the cervix does not spontaneously constrict or close again until after delivery.
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