Nursing Interventions for Hydatidiform mole (H. mole)

  • Monitor for evidence of hemorrhage such as vital signs, abdominal pain, uterine status, and vaginal bleedin
  • Remember to assess the BP, check if the patient is bleeding profusely, and make sure to notify the doctor immediately.
  • Start intravenous (IV) infusion with an 18-gauge intracatheter as ordered.
  • Teach deep breathing techniques to alleviate the pain. Use diversional activities if possible.
  • Check for abdominal pain, assess the abdominal area for signs of internal bleeding(e.g. Cullen’s)
  • If nausea and vomiting are present, make sure the patient would not aspirate it.
  • Prepare for surgery according to preoperative protocol, and type and cross match 2 to 4 units of blood as ordered.
  • Postoperative IV infusions with oxytocin added are usually continued initially to facilitate uterine contractions and decrease uterine bleeding.
  • After D&C patient is at risk for infection. Make sure the patient has a good perineal hygiene.
  • Assess for indicators of infection by checking temperature every 4 hours and assessing vaginal discharge for a foul odor.
  • Monitor laboratory data especially white blood cell count.
  • Administer all medications as ordered. Observe the 10 Rs
  • Do not massage a boggy uterus if ovaries are enlarged since it can cause ovarian rupture.
  • Remember that this might very hard for the patient to accept, make sure to provide emotional support. Explain to the patient that it is not her fault this happened.
  • Discuss the family planning methods available for her. Remember to reiterate the importance ofmonitoring the hCG level and follow-ups.
  • Notify physician of first signs of bleeding.

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