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 Number and Ob-gyn Q1  

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A 27 y.o. woman gravida 4, para 0 at 6 weeks gestation come the physician for her first prenatal visit. Her past obstetric history is significant for 3 second trimester losses. She states that each time she presented to the hospital and was found to have a widely dilated cervix. She doesn t recall having painful contractions prior to the diagnosis of dilation in any of the previous pregnancies. she has no medical problems and has never had surgery. PE is unremarkable, including a pelvic examination that shows her cervix to be long and closed. After a lenghty discussion with the patient, she chooses to have a cerclage placed during this pregnancy. Which of the following is the most appropriate time to place the cerclage?

a) Immediately

b) 10-14 weeks

c) 20-24 weeks

d) 24-28 weeks

e) 32-36 weeks


B,13-16 weeks


b nod



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