OUR LADY OF FATIMA UNIVERSITY

CABANATUAN CAMPUS
COLLEGE OF NURSING

Garcia, Nehemiah B.
BSN 2Y2 – 2

NCMA 219

Course Task #3

Question:
Beverly Mazuki told you after having had a gestational trophoblastic disorder, that she did not
believe in birth control so she did not intend to take the oral contraceptive prescribed following
her mole evacuation? How would you advise her?

Answer:

 As a nurse, I would talk to the patient and ask her concerns about birth control. It would be helpful if I
could get her trust so that I could explain to her the benefits of birth control pills especially in her case.
I would encourage her to attend birth control counselling so that she could be more enlighten on its
benefit. Relative to her disorder, I will tell her that after removing her molar pregnancy it is important
not to get pregnant again until her doctor say it is safe for her to try and that it is fine to use oral
contraceptives to make sure she will not get pregnant immediately after the mole evacuation. If she
gets pregnant, her hCG level would go up and her doctor won’t be able to monitor her for molar
pregnancy using her hCG levels. It is important that she be monitored for molar pregnancy or invasive
mole because a small proportion of molar pregnancies can develop into a choriocarcinoma, which is a
form of cancer. If she won’t use contraceptives molar pregnancy may occur it is a form of abnormal
pregnancy, in which the formed placental-like tissue sometimes invades the wall of the uterus. In most
cases, the woman miscarries and passes the mole from her body, or it is removed with a surgical
procedure called a dilatation and curettage (D&C). This procedure is also known as an evacuation of
the uterus. If a molar pregnancy is not treated or does not miscarry completely it can progress and
cause a range of serious conditions like:
 OUR LADY OF FATIMA UNIVERSITY
CABANATUAN CAMPUS
COLLEGE OF NURSING

 persistent GTD – persistent growth of the abnormal placental tissue

 invasive mole – the tumour spreads into the wall of the uterus

 metastatic mole – molar cells migrate to other organs of the body and cause secondary tumours. The
lungs are common sites for metastatic moles

 gestational choriocarcinoma – a rapidly spreading type of cancer that can travel to any part of the body
via the blood vessels or lymphatic system.