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    Pediatrics Proctored examQuestion 28
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    Pediatrics Proctored exam

    A nurse in a prenatal clinic is caring for a client who is suspected of having a hydatidiform mole. Which of the following findings should the nurse expect to observe in this client?

    Explanation & Rationale

    A. Vaginal discharge associated with a hydatidiform mole is usually brownish or dark red, not clear. Profuse, clear discharge is not characteristic. B. Hydatidiform mole involves abnormal trophoblastic growth, typically without a viable fetus, so fetal heart rate is absent rather than irregular. C. hCG levels in a hydatidiform mole are elevated or rising abnormally high, rather than declining. D. Excessive uterine enlargement is a hallmark finding because the uterus grows more rapidly than expected for gestational age due to the proliferation of abnormal trophoblastic tissue. Other signs may include hyperemesis gravidarum, early preeclampsia, and passage of grape-like vesicles.

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