Module 5 - GTD Word Scramble
|
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Question | Answer |
GTD definition | pathologic proliferation of trophoblastic cells (outermost layer of embryonic cells) |
Occurs in approx.________ | 1 per 1500 live births |
Risk factors | Unknown |
GTD includes_______ | hydatiform mole, invasive mole and choriocarcinoma |
S/S | vaginal bleeding “prune juice” brownish, may be red, hyperemesis, absence of fetal heart tones and movement |
uterine enlargement greater than expected for ________is a classic sign of a _______ ________ | GA, COMPLETE mole |
may have _________ hCG levels | higher than norm |
Treatment | Suction evacuation – currettage of uterus to remove all fragments of placenta |
If malignant GTD______ | need for extensive follow up therapy, may need chemotherapy |
Two types of molar pregnancy are_____ and _____ | complete, partial |
A complete mole develops from an ovum containing___________ (empty egg), which is fertilized by a _____ ______ | no genetic material, a normal sperm. No embryonic tissues or membranes are found |
A partial mole usually has a ___________ ________ (69 chromosomes) | triploid karyotype |
In a partial mole, most often a _____ ______ with 23 chromosomes, is fertilized by ____ ______ (dispermy) or by a sperm that has failed to undergo the first meiotic division and therefore contains 46 chromosomes | normal ovum , two sperms |
In a partial mole, there may be | a fetal sac or even fetal heartbeat. The fetus has multiple anomalies because of the triplody and little chance for survival |
Choriocarcinoma seems to be almost associated with the ______ _________ | complete mole |
Invasive mole is similar to a complete mole, but it invades the_________ | myometrium |
Serum hCG levels are ____ with molar pregnancy than normal pregnancy | higher |
If hydropic vesicles are passed, they are_______ | diagnostic |
Malignant GTD develops following evacuation of the mole in approx._______% of women | 20 |
To detect malignancy early, all women with GTD should have extensive follow-up ________ | therapy |
Follow-up care includes a baseline_______ to detect metastasis and physical exam including a ______ exam | chest x-ray, pelvic |
hCG levels are monitored closely for a year; if there is any plateau or rise in hCG, _________and/or __________ is initiated | methotrexate , chemotherapy |
Assessment of GTD | Brownish vaginal bleeding at @ 16 weeks * vomiting from elevated hCG * passing of grapelike vesicle * symptoms of PIH before 20 wks (hypertension, proteinuria) |
Follow up care is ESSENTIAL. It includes baseline ____ ______, _______ levels and ______ exams for a year; Do not get pregnant for at least a year until cleared for choriocarcinoma (pregnancy will elevate hCG) | chest x -ray, hCG, pelvic |
Created by:
CCBCMDNursing218
Popular Nursing sets