5. A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21 weeks' gestation. The cervical changes as shown below are found. She denies any complaints, including contractions. On sterile speculum exam she is noted to be dilated 1-2 cm with bulging membranes just past the level of the external os. She undergoes 24 hours of observation on labor and delivery without any change. The patient elects to proceed with cerclage placement. What is the most appropriate statement regarding her probable outcome?

Human Anatomy & Physiology (11th Edition)
11th Edition
ISBN:9780134580999
Author:Elaine N. Marieb, Katja N. Hoehn
Publisher:Elaine N. Marieb, Katja N. Hoehn
Chapter1: The Human Body: An Orientation
Section: Chapter Questions
Problem 1RQ: The correct sequence of levels forming the structural hierarchy is A. (a) organ, organ system,...
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5. A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21
weeks' gestation. The
cervical changes as shown below are found. She denies any complaints,
including contractions. On sterile
speculum exam she is noted to be dilated 1-2 cm with bulging membranes just
past the level of the external
os. She undergoes 24 hours of observation on labor and delivery without any
change. The patient elects to
proceed with cerclage placement. What is the most appropriate statement
regarding her probable outcome?
OA. There is a 20% risk of delivery prior to term.
OB. There is a 33% risk of delivery prior to 35 weeks' gestation.
C. There is a 50% risk of delivery prior to 36 weeks' gestation.
OD. There is at least a 50% risk of delivery prior to 28 weeks' gestation.
*
Transcribed Image Text:5. A 38-year-old G1 undergoes a routine sonogram to survey fetal anatomy at 21 weeks' gestation. The cervical changes as shown below are found. She denies any complaints, including contractions. On sterile speculum exam she is noted to be dilated 1-2 cm with bulging membranes just past the level of the external os. She undergoes 24 hours of observation on labor and delivery without any change. The patient elects to proceed with cerclage placement. What is the most appropriate statement regarding her probable outcome? OA. There is a 20% risk of delivery prior to term. OB. There is a 33% risk of delivery prior to 35 weeks' gestation. C. There is a 50% risk of delivery prior to 36 weeks' gestation. OD. There is at least a 50% risk of delivery prior to 28 weeks' gestation. *
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