Hydatidiform Mole

HYDATIDIFORM MOLE (H.
MOLE)
- A rare pregnancy problem is a molar pregnancy. It involves trophoblasts, which

grow in an unusual way. Usually, an organ developed from these cells nourishes
a developing fetus. The placenta is another name for that organ. Complete molar
pregnancy and partial molar pregnancy are the two forms of molar pregnancy. The
placental tissue swells and seems to produce fluid-filled cysts in a complete molar
pregnancy. No fetus exists. The placenta in a partly molar pregnancy may contain
both regular and irregular tissue. There might be a fetus, but it won't live. Typically,
a miscarriage occurs early in the pregnancy. A rare type of cancer is one of the
severe problems that might arise from a molar pregnancy. Early treatment is
necessary for a molar pregnancy.
FOCUS ASSESSMENT (Signs and Symptom)
- At first glance, a molar pregnancy may resemble a typical one. However, the
majority of molar pregnancies result in symptoms such as pelvic pressure or
discomfort, severe nausea and vomiting, dark brown to bright red bleeding from
the vagina during the first three months, and grape-like cysts that occasionally
pass from the vagina.
- The majority of molar pregnancies are discovered in the first trimester because to
advancements in detection methods. Preeclampsia, a disorder that causes high
blood pressure and protein in the urine before 20 weeks of pregnancy, ovarian
cysts, and an overactive thyroid, commonly known as hyperthyroidism, may be
indications of a molar pregnancy if it is not discovered in the first three months.
DIAGNOSTIC AND LABORATORY TEST
- A doctor who suspects a molar pregnancy will probably request bloodwork and an
ultrasound. An instrument resembling a wand may be inserted into the vagina
during an early pregnancy ultrasound. And an early ultrasound may be used to
diagnose it before symptoms show up.
RISK FACTORS
Factors that can contribute to a molar pregnancy include:
- Earlier molar pregnancy. If you've had one molar pregnancy, you're more likely to
have another. A repeat molar pregnancy happens, on average, in 1 out of every
100 people.
- Age of the mother. A molar pregnancy is more likely in people older than age 43
or younger than age 15.
PATHOPHYSIOLOGY (DIAGRAM)
NURSING DIAGNOSES BY PRIORITY (3 with rationale)
1. Deficient Fluid Volume related to heavy vaginal bleeding secondary to

hydatidiform mole/molar pregnancy, as evidence by an average blood
pressure level of 85/50, body weakness, decrease urinary output, and pale
clammy skin.
- The patient will re-establish a functional body fluid volume and a

balanced input and output status.
2. Risk of Injury
- The patient will maintain safety and participate in measures that will
protect self during the treatment.
3. Acute pain related to hydatidiform mole as evidenced by pain score of 10

out of 10, verbalization of pelvic pain, and restlessness.
- The patient will demonstrate relief of pain as evidenced by a pain
score of 0 out of 10, stable vital signs, and absence of restlessness.
NURSING MANAGEMENT / INTERVENTION
- Assess vital signs, conduct physical examination and commence

daily weight monitoring.
Rationale: Edema, headaches, low blood pressure, and pain are associated with the
patient’s blood loss. Fluid retention may be evident if the patient has an unexplained
weight gain.
- Elevate the head of the bed and position the patient in semi fowler’s.
- Rationale: To increase the oxygen level by allowing optimal lung

expansion.
- Prepare the patient for surgical intervention for removal of the

hydatidiform mole.
- Rationale: There are 2 surgical interventions for molar pregnancies:

Dilation and curettage- involves dilating the cervix and surgical
resectioning the molar tissue inside the uterus, Hysterectomy- only
recommended for patients with high probability of developing
Gestational trophoblastic neoplasia (GTN) and have no desire for
future pregnancies.
MEDICAL/ SURGICAL MANAGEMENT
A molar pregnancy can't be allowed to continue. To prevent complications, the affected

placental tissue must be removed. Treatment usually consists of one or more of the
following steps:
- Dilation and curettage (D&C). This procedure removes the molar tissue from the
uterus. You lie on a table on your back with your legs in stirrups. You receive
medicine to numb you or put you to sleep. After opening the cervix, the provider
removes uterine tissue with a suction device. A D&C for a molar pregnancy usually
is done in a hospital or surgery center.
- Removal of the uterus. This occurs rarely if there's increased risk of gestational
trophoblastic neoplasia (GTN) and there's no desire for future pregnancies.
- HCG monitoring. After the molar tissue is removed, a provider keeps measuring
the HCG level until it goes down. A continuing high level of HCG in the blood might
require more treatment.
After treatment for the molar pregnancy is complete, a provider might check HCG levels
for six months to make sure no molar tissue is left. For people with GTN, HCG levels are
checked for one year after chemotherapy is completed. Because pregnancy HCG levels
also increase during a regular pregnancy, a provider might recommend waiting 6 to 12
months before trying to become pregnant again. The provider can recommend a reliable
form of birth control during this time.
DRUG ANALYSIS (MOA, Indication, Side Effects and Nursing Responsibility)

Hydatidiform Mole

Uploaded by

Copyright:

Available Formats

Hydatidiform Mole

Uploaded by

Document Information

Original Description:

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

Hydatidiform Mole

Uploaded by

Copyright:

Available Formats

HYDATIDIFORM MOLE (H.

- A rare pregnancy problem is a molar pregnancy. It involves trophoblasts, which

FOCUS ASSESSMENT (Signs and Symptom)

DIAGNOSTIC AND LABORATORY TEST

Factors that can contribute to a molar pregnancy include:

NURSING DIAGNOSES BY PRIORITY (3 with rationale)

1. Deficient Fluid Volume related to heavy vaginal bleeding secondary to

- The patient will re-establish a functional body fluid volume and a

3. Acute pain related to hydatidiform mole as evidenced by pain score of 10

NURSING MANAGEMENT / INTERVENTION

- Assess vital signs, conduct physical examination and commence

- Rationale: To increase the oxygen level by allowing optimal lung

- Prepare the patient for surgical intervention for removal of the

- Rationale: There are 2 surgical interventions for molar pregnancies:

MEDICAL/ SURGICAL MANAGEMENT

A molar pregnancy can't be allowed to continue. To prevent complications, the affected

DRUG ANALYSIS (MOA, Indication, Side Effects and Nursing Responsibility)

You might also like