Module 8 (Exam 3) Gestational Trophoblastic Disease Flashcards Preview

Semester Three - Half Two - Nursing 212 > Module 8 (Exam 3) Gestational Trophoblastic Disease > Flashcards

Flashcards in Module 8 (Exam 3) Gestational Trophoblastic Disease Deck (5)
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1

Gestational Trophoblastic Disease (Hydatidiform Mole)

 

Trophoblasts develop abnormally and the blastocyst dies. Chorionic villi swell and form grapelike clusters of tissues that grow rapidly and fill the uterus.

2

Signs and Symptoms of Gestational Trophoblastic Disease

  1. Positive pregancy test
  2. hcg levels higher than expected for gestation
  3. Uterus larger than gestational age
  4. Vaginal bleeding - from dark brown spotting to hemorrhage
  5. Excessive nausea and vomiting (hyperemesis gravidarum)

3

Therapeutic Management of Gestational Trophoblastic Disease

  1. Confirm pregnancy
  2. Ultrasound snowstorm pattern and no fetus
  3. Elevated hCG levels
  4. Monitor bleeding
  5. Treat symptoms of HEG or pre-eclampsia
  6. Evacuate trophoblastic tissue
  7. Screen for metastatic disease
  8. Follow up: serial hCG levels for one year, pregnancy preventation for one year, screen for malignancy

4

Define hydatidiform mole

Abnormal growth of trophoblastic tissue

5

Discuss the rationale for monthly hCG testing for one year following the diagnosis of GTD

Alerts to cancer. If cancer is to form, it will present within 1 year's time.

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