Author Question: After teaching a woman who has had an evacuation for a hydatidiform mole (molar pregnancy) about her ... (Read 64 times)

justinmsk · **on:** Jun 27, 2018

After teaching a woman who has had an evacuation for a hydatidiform mole (molar pregnancy) about her condition, which of the following statements indicates that the nurse's teaching was successful?

A) I will be sure to avoid getting pregnant for at least 1 year..
B) My intake of iron will have to be closely monitored for 6 months..
C) My blood pressure will continue to be increased for about 6 more months..
D) I won't use my birth control pills for at least a year or two..

Question 2

The fetus of a pregnant patient is in a breech presentation. Where will the nurse auscultate fetal heart sounds?

A) Low in the abdomen
B) Left lateral abdomen
C) High in the abdomen
D) Right lateral abdomen

kardosa007 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

A
Feedback:
After evacuation of a hydatidiform mole, long-term follow-up is necessary to make sure any remaining trophoblastic tissue does not become malignant. Serial hCG levels are monitored closely for 1 year and the client is urged to avoid pregnancy for 1 year because it can interfere with the monitoring of hCG levels. Iron intake and blood pressure are not important aspects of follow-up after evacuation of a hydatidiform mole. Use of a reliable contraceptive is strongly recommended so that pregnancy is avoided.

Answer to Question 2

C
Feedback:
With a breech presentation, fetal heart sounds usually are heard high in the abdomen. In a breech presentation, fetal heart sounds will not be heard low in the abdomen or over the left or right lateral abdominal regions.