Maternity Nursing: Antepartum Q 34
Which of the following symptoms occurs with a hydatidiform mole?
A. Heavy, bright red bleeding every 21 days.
B. Fetal cardiac motion after 6 weeks gestation.
C. Benign tumors found in the smooth muscle of the uterus.
D. “Snowstorm” pattern on ultrasound with no fetus or gestational sac.
Correct Answer: D. “Snowstorm” pattern on ultrasound with no fetus or gestational sac.
The chorionic villi of a molar pregnancy resemble a snowstorm pattern on ultrasound. Bleeding with a hydatidiform mole is often dark brown and may occur erratically for weeks or months.
Option A: The most common symptom of placenta previa is bright red, painless bleeding from the vagina. This is most common in the third trimester of pregnancy.
Option B: The heart rate (HR) increases between the 5th week of gestation and 9th week of gestation and after the 13th week of gestation reduces. Cardiovascular development in a human embryo occurs between 3 and 6 weeks after ovulation. Cardiac function is the first sign of independent cardiac activity that can be explored with non-invasive techniques such as Doppler ultrasound
Option C: Uterine smooth muscle tumors are neoplasms composed of smooth muscle; they range from benign leiomyomas to low-grade and high-grade leiomyosarcomas. Several histologic subtypes exist, including usual (spindled), epithelioid, and myxoid tumors.