Hmole Flashcards
1
Q
What are the triad signs of Hmole?
A
- Big uterus
- Vaginal bleeding (brownish and intermittent)
- HCG greater than 1 million
2
Q
What are the risk factors of Hmole?
A
- Women older than 35 years old
- low socioeconomic status = low protein intake
- blood group A women who marry blood group O men
3
Q
What is the most dreaded complication of Hmole?
A
Choriocarcinoma
4
Q
What is the most serious complication during early treatment?
A
Hemorrhage
5
Q
What is the medication used in case of malignancy/
A
Methotrexate
6
Q
What are some s/sx of Hmole?
A
Brownish/reddish vaginal bleeding by 16 weeks
PIH before 20 weeks
Rapid uterine enlargement
Excessive nausea and vomiting
7
Q
How is Hmole treated?
A
D&C or hysterectomy
HCG titer monitoring
no pregnancy for 1 year
Methotrexate for malignancy
8
Q
What are some expected nursing diagnoses?
A
Fear r/t potential development of cancer
Disturbance in self-esteem for carrying an abnormal pregnancy
