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Molar pregnancy - Coggle Diagram
Molar pregnancy
Symptoms
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Preeclampsia — a condition that causes high blood pressure and protein in the urine after 20 weeks of pregnancy
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Nursing care
Measure abdominal girth and fundal height to establish baseline data regarding the growth of the uterus.
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Save all pads used by the woman during bleeding to check for clots and tissues she may have discharged.
Provide your patient with an open environment and a trusting relationship so she would be encouraged to express her feelings.
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Provide an assurance that it is not her own fault that this happened to her to lessen her sense of guilt and self-blame.
Pathophysiology
A hydatidiform mole is a pregnancy/conceptus in which the placenta contains grapelike vesicles (small sacs) that are usually visible to the naked eye. The vesicles arise by distention of the chorionic villi by fluid. When inspected under the microscope, hyperplasia of the trophoblastic tissue is noted. If left untreated, a hydatidiform mole will almost always end as a spontaneous abortion (miscarriage).
Based on morphology, hydatidiform moles can be divided into two types: in complete moles, all the chorionic villi are vesicular, and no sign of embryonic or fetal development is present. In partial moles some villi are vesicular, whereas others appear more normal, and embryonic/fetal development may be seen but the fetus is always malformed and is never viable.
In rare cases a hydatidiform mole co-exists in the uterus with a normal, viable fetus. These cases are due to twinning. The uterus contains the products of two conceptions: one with an abnormal placenta and no viable fetus (the mole), and one with a normal placenta and a viable fetus. Under careful surveillance it is often possible for the woman to give birth to the normal child and to be cured of the mole.
Diagnosis
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There is increased trophoblast proliferation and enlarging of the chorionic villi, and angiogenesis in the trophoblasts is impaired.
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