A pregnant woman is being discharged from the hospital after placement of a cerclage because of a history of recurrent pregnancy loss secondary to an incompetent cervix.Discharge teaching should emphasize that:

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Nursing care should stress the importance of monitoring signs and symptoms of preterm labor.Vaginal bleeding needs to be reported to her primary health care provider.Bed rest is an element of care.However,the woman may stand for periods of up to 90 minutes,which allows her the freedom to see her physician.Home uterine activity monitoring may be used to limit the woman's need for visits and to safely monitor her status at home.The cerclage can be removed at 37 weeks of gestation (to prepare for a vaginal birth),or a cesarean birth can be planned.

A Pregnant Woman Is Being Discharged from the Hospital After