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5 Cards in this Set

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What are the nursing considerations for a hydatidiform mole?
When a molar pregnancy is suspected, the woman needs emotional support. If a molar pregnancy is diagnosed, the nurse supports the parents as they deal with their grief anout the lost pregnancy.
What follow-up treatment is indicated for a molar pregnancy?
Follow up care includes a baseline chest x-ray to detect mets. and a physical exam. Serum B-hCG levels are monitored weekly until the woman has normal titers for 3 consecutive weeks. Titers are monitored for 6 months and the woman avoids pregnancy at this time. If after a year of monitoring, the hCG serum titers remain WNL, a couple may be assured that subsequent normal pregnancy can be anticipated, with a low probablilty of recurring hydatidiform mole.
What is an incompetent cervix?
Refers to the premature dilatation of the cervix.
When is an incompetent cervix most likely to occur?
Usually in the fourth or fifth month of pregnancy.
How is an incompetent cervix managed?
Traditionally it is managed surgically with a Shirodkar-Barter operation (cerclage) or a modification of it by McDonald - which reinforces the weakened cervix by encircling it at the level of the internal os with the suture material. Once the suture is in place, a cesarean birth may be planned, which allows the suture to be left in place for subsequent pregnancies or it may be released at term and vaginal birth permitted.