Hmole

Question 1

What are the triad signs of Hmole?

Answer 1

• Big uterus
• Vaginal bleeding (brownish and intermittent)
• HCG greater than 1 million

Question 2

What are the risk factors of Hmole?

Answer 2

• Women older than 35 years old
• low socioeconomic status = low protein intake
• blood group A women who marry blood group O men

Question 3

What is the most dreaded complication of Hmole?

Answer 3

Choriocarcinoma

Question 4

What is the most serious complication during early treatment?

Answer 4

Hemorrhage

Question 5

What is the medication used in case of malignancy/

Answer 5

Methotrexate

Question 6

What are some s/sx of Hmole?

Answer 6

Brownish/reddish vaginal bleeding by 16 weeks

PIH before 20 weeks

Rapid uterine enlargement

Excessive nausea and vomiting

Question 7

How is Hmole treated?

Answer 7

D&C or hysterectomy
HCG titer monitoring
no pregnancy for 1 year
Methotrexate for malignancy

Question 8

What are some expected nursing diagnoses?

Answer 8

Fear r/t potential development of cancer
Disturbance in self-esteem for carrying an abnormal pregnancy