The patient in the first trimester of pregnancy questions the ...

[berenicecastro]

The patient in the first trimester of pregnancy questions the nurse about the causes of fetal death.
 
  The nurse explains that factors associated with perinatal loss include: Note: Credit will be given only if all correct choices and no incorrect choices are selected. Select all that apply. 1. Maternal diabetes.
  2. Paternal hypertension.
  3. Fetal chromosomal disorders.
  4. Maternal infections.
  5. Placental abnormalities.

Question 2

A woman has a hydatidiform mole (molar pregnancy) evacuated, and is prepared for discharge. The nurse should make certain that the client understands that what is essential?
 
  1. That she not become pregnant until after the follow-up program is completed
  2. That she receive RhoGAM with her next pregnancy and birth
  3. That she has her blood pressure checked weekly for the next 30 days
  4. That she seek genetic counseling with her partner before the next pregnancy

[cuttiesgirl16]

Answer to Question 1

1,3,4,5
Rationale 1: Fetal loss can be a result of a number of physiologic maladaptations, including maternal diabetes.
Rationale 2: Paternal hypertension is not related to fetal loss.
Rationale 3: Chromosomal abnormalities can be associated with fetal loss.
Rationale 4: Infections such as human parvovirus B19, syphilis, streptococcal infection, and Listeria can lead to fetal loss.
Rationale 5: Placental abnormalities such as abruptio placentae and placenta previa can result in fetal death.

Answer to Question 2

1
Explanation: 1. Because of the risk of choriocarcinoma, the woman treated for hydatidiform mole should receive extensive follow-up therapy. Follow-up care includes a baseline chest X-ray to detect lung metastasis and a physical examination including a pelvic examination. The woman should avoid pregnancy during this time because the elevated hCG levels associated with pregnancy would cause confusion as to whether cancer had developed.