Author Question: The perinatal nurse is giving discharge instructions to a woman status postsuction curettage ... (Read 142 times)

ericka1 · **on:** Jun 27, 2018

The perinatal nurse is giving discharge instructions to a woman status postsuction curettage secondary to a hydatidiform mole. The woman asks why she must take oral contraceptives for the next 12 months. The best response from the nurse is:

1. If you get pregnant within 1 year, the chance of a successful pregnancy is very small. Therefore, if you desire a future pregnancy, it would be better for you to use the most reliable method of contraception available..
2. The major risk to you after a molar pregnancy is a type of cancer that can be di-agnosed only by measuring the same hormone that your body produces during pregnancy. If you were to get pregnant, it would make the diagnosis of this can-cer more difficult..
3. If you can avoid a pregnancy for the next year, the chance of developing a second molar pregnancy is rare. Therefore, to improve your chance of a successful pregnancy, it is better not to get pregnant at this time..
4. Oral contraceptives are the only form of birth control that will prevent a recur-rence of a molar pregnancy..

Question 2

Concerning their role in the personal hygiene of the expectant mother, maternity nurses should be aware that:

1. tub bathing is permitted even in late pregnancy, unless membranes have ruptured.
2. the perineum should be wiped from back to front.
3. bubble bath and bath oils are okay because they add an extra soothing and clean-sing action to the bath.
4. expectant mothers should use specially treated soap to cleanse the nipples.

alexisweber49 · **Reply #1 on:** Jun 27, 2018

Answer to Question 1

2
1. Incorrect. Women should be instructed to use birth control for 1 year following a hydati-diform mole.
2. Correct. This is an accurate statement. Beta-hCG levels will be drawn for 1 year to en-sure that the mole is completely gone. There is an increased chance of developing choriocar-cinoma following the presence of a hydatidiform mole. The goal is to achieve a zero hCG level. If the woman were to become pregnant, it may obscure the presence of the potentially carcinogenic cells.
3. Incorrect. The rationale to avoid pregnancy for 1 year is to ensure that carcinogenic cells are not present.
4. Incorrect. Any contraceptive method except an IUD is acceptable.

Answer to Question 2

1
1. Correct. The main danger from taking baths is falling in the tub.
2. Incorrect. The perineum should be wiped from front to back.
3. Incorrect. Bubble baths and bath oils should be avoided because they may irritate the urethra.
4. Incorrect. Soap, alcohol, ointments, and tinctures should not be used to cleanse nipples because they remove protective oils. Warm water is sufficient.