A client is suspected of having a hydatidiform mole. What should the nurse expect to assess in this client? Select all that apply
1. Elevated blood pressure
2. Absence of fetal heart tones
3. Frequent urination and thirst
4. Dark brown vaginal drainage
5. Larger than gestational age fundal height
1, 2, 4, 5
Explanation:
1. Manifestations of preeclampsia are associated with a hydatidiform mole, which would include an elevated blood pressure.
2. Fetal heart sounds are absent with a hydatidiform mole because a fetus is not developing in the uterus.
3. Frequent urination and thirst are not manifestations of hydatidiform mole.
4. Dark brown vaginal discharge, similar to prune juice, occurs because of liquefaction of the uterine clot.
5. Uterine enlargement greater than expected for gestational age is a classic sign of a complete mole, which is present in about half of cases. Enlargement is due to the proliferating trophoblastic tissue and to a large amount of clotted blood.
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