A nurse is caring for a patient who has been diagnosed with an incomplete molar pregnancy. Which ...

ANS: D
Gestational trophoblastic disease (GTD) is a disease characterized by an abnormal placental development that results in the production of fluid-filled grapelike clusters (instead of normal placental tissue) and a vast proliferation of trophoblastic tissue. GTD includes the diagnosis of hydatidiform mole (molar pregnancy). Complete moles have a proliferation of trophoblastic tissue, but no fetal parts. An incomplete mole is associated with a coexistent fetus that is genetically abnormal and usually only survives a few weeks before being spontaneously aborted. Support groups for grieving parents are an important community resource, and the nurse should ensure that the woman has information on local organizations. Management includes emptying the uterus of its contents with strict follow-up. Women should not become pregnant for at least a year afterward. Incomplete moles are almost always benign, so a consultation for a radiation oncology nurse is most likely not needed. Screening for SLE is done in women who have habitual abortions.