The perinatal nurse is giving discharge instructions to a woman, ...

[809779]

The perinatal nurse is giving discharge instructions to a woman, status post suction and 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 a. 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.
  b. The major risk to you after a molar pregnancy is a type of cancer that can be
  diagnosed 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 cancer
  more difficult.
  c. 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.
  d. Oral contraceptives are the only form of birth control that will prevent a
  recurrence of a molar pregnancy.

Question 2

What is the best nursing response to the mother of a 4-year-old child who asks what she can do to help the child cope with a sibling's repeated hospitalizations?
 
  a. Recommend that the child be sent to visit the grandmother until the sibling returns
  home.
  b. Inform the parent that the child is too young to visit the hospital.
  c. Assume the child understands that the sibling will soon be discharged because the
  child asks no questions.
  d. Help the mother give the child a simple explanation of the treatment, and
  encourage the mother to have the child visit the hospitalized sibling.

[Jordin Calloway]

Answer to Question 1

B
Feedback
A Women should be instructed to use birth control for 1 year after treatment for a
hydatidiform mole. Pregnancy raises hCG levels which increases the risk for
choriocarcinoma.
B This is an accurate statement. Beta-hCG levels will be drawn for 1 year to ensure
that the mole is completely gone. There is an increased chance of developing
choriocarcinoma after the development 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.
C The rationale for avoiding pregnancy for 1 year is to ensure that carcinogenic
cells are not present.
D Any contraceptive method except an IUD is acceptable.

Answer to Question 2

D
Feedback
A Separation from family and home may intensify fear and anxiety.
B Parents are experts on their children and need to determine when their child can
visit a hospital.
C Children may have difficulty expressing questions and fears and need the support
of parents and other caregivers.
D Needs of a sibling will be better met with factual information and contact with
the ill child.

[809779]

Thank you

[Jordin Calloway]

No problemo