A woman has a hydatidiform mole (molar pregnancy) evacuated, and is prepared for discharge. The nurse should make certain that the patient understands that it is essential that she:
1. Not become pregnant until after the follow-up program is completed.
2. Receive RhoGAM with her next pregnancy and birth.
3. Have her blood pressure checked weekly for the next 30 days.
4. Seek genetic counseling with her partner before the next pregnancy.
1
Rationale 1: Follow-up care consists of monitoring hCG levels weekly until they are negative three consecutive times, then monthly for 6 months. Patients are advised not to get pregnant due to potential confusion between tumor growth and pregnancy.
Rationale 2: There is no indication for the administration of RhoGAM.
Rationale 3: There is no indication of blood pressure problems or preeclampsia.
Rationale 4: This is not a genetic defect that genetic counseling could/would resolve.
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