Maternity Nursing Q 163

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Which of the following signs and symptoms will most likely make the nurse suspect that the patient has hydatidiform mole?

  

     A. Slight bleeding

     B. Passage of clear vesicular mass per vagina

     C. Absence of fetal heartbeat

     D. Enlargement of the uterus

    

    

Correct Answer: B. Passage of clear vesicular mass per vagina

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Hydatidiform mole (H-mole) is characterized by the degeneration of the chorionic villi wherein the villi becomes vesicle-like. These vesicle-like substances when expelled per vagina and is a definite sign that the woman has H-mole.

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Option A: Implantation bleeding is a common cause of spotting early on in pregnancy. Implantation bleeding happens when the fertilized egg attaches to the uterine lining. This can trigger a few days of light bleeding or spotting.

Option C: If the crown-rump length (CRL) is > 7 mm and there is no embryonic cardiac activity, this is defined as a missed miscarriage, or. If the mean gestational sac diameter is > 25 mm and there is no yolk sac or embryonic pole, this is defined as an empty sac miscarriage.

Option D: Two of the most common causes of an enlarged uterus are uterine fibroids and adenomyosis. Uterine fibroids are commonly noncancerous tumors of the muscular wall of the uterus, affecting as many as eight in 10 women by the age of 50. Fibroids more commonly affect women over age 30.

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