After surgery for a hydatidiform mole, the woman should be advised that:
a. No additional medical care will be needed.
b. Hydatidiform moles are most common in nulliparous women.
c. She should avoid oral contraceptives, which could cause another hydatidiform mole.
d. She must have periodic blood studies and ultrasounds to monitor for choriocarcinoma.
ANS: D
Follow-up care is important because the woman is at risk for choriocarcinoma. Oral contraceptives may be prescribed to prevent another pregnancy and allow human chorionic gonadotropin levels to return to normal. The incidence of moles increases with maternal age and parity.
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