Question

The 30-year-old client is diagnosed with a molar pregnancy. The nurse should tell the client: ? A. To report any vaginal bleeding ? B. To refrain from having intercourse for several months ? C. To observe the baby’s fetal movement ? D. To avoid becoming pregnant again for at least one year

Short answer

Question: A client has been diagnosed with a molar pregnancy. The most appropriate advice for the client is: A) To report any vaginal bleeding B) To refrain from having intercourse for several months C) To observe fetal movement D) To avoid pregnancy for at least one year Answer: A) To report any vaginal bleeding

Step-by-step solution

Understanding molar pregnancy

A molar pregnancy, or hydatidiform mole, is an abnormal growth of tissue within the uterus. This occurs when there is a problem with the fertilization process, causing an imbalance in the genetic material of the developing embryo. Molar pregnancies can be complete (no normal fetal tissue) or partial (a mix of normal and abnormal tissue). They are not viable pregnancies and can result in dangerous complications for the mother, including heavy vaginal bleeding, preeclampsia, and an increased risk of a rare cancer called gestational trophoblastic neoplasia.

Analyzing each option

Option A: Reporting vaginal bleeding is an essential step for someone diagnosed with a molar pregnancy as heavy bleeding can occur, and proper monitoring and medical intervention may be necessary. Option B: Refraining from having intercourse for several months is usually recommended following a molar pregnancy. The exact time may vary depending on the severity of the condition and the individual's circumstances; however, generally, this is advised to allow the body to recover fully and reduce complications. Option C: Observing fetal movement is not applicable, as molar pregnancies are not viable pregnancies and do not result in a live birth. Option D: Avoiding pregnancy for at least one year may be relevant for some individuals following a molar pregnancy. The duration of recommended wait-time depends on the individual circumstances and the recovery process. Regular hCG monitoring is essential to track the recovery progress and ensure there are no malignant developments.

Choosing the most accurate advice

In this question, we are asked to choose the most appropriate advice for the client diagnosed with a molar pregnancy. While both Options A and B are valid advice, Option A ("To report any vaginal bleeding") is the most important piece of information for someone dealing with a molar pregnancy. Vaginal bleeding is a common symptom indicating potential complications and should always be reported to a healthcare provider.