A client has been diagnosed with an incompetent cervix. What treatment option will be incorporated into the plan of care?
a. Bed rest throughout the pregnancy
b. Wait and see approach to determine if the client goes into preterm labor
c. Preparation for cerclage procedure at 32 weeks' gestation
d. More frequent ultrasounds to assess progression of pregnancy
ANS: D
An incompetent cervix would place the client in a high-risk category, and more frequent ultrasound monitoring would be included. Although bed rest may be ordered, there is conflicting evidence about the merits of this intervention. However, it is unlikely that it would be ordered for the duration of the pregnancy. An incompetent cervix is a clinical abnormality, so the standard of care requires appropriate surgical intervention. A cerclage procedure is typically done much earlier in the pregnancy period.
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