A client has just expelled a hydatidiform mole. She’s visibly upset over the loss and wants to know when she can try to become pregnant again. Which of the following would be the nurse’s best response
A. "I can see you’re upset. Why don’t we discuss this with you at a later time when you’re feeling better. "
B. "I can see that you’re upset; however, you must wait at least 1 year before becoming pregnant again. "
C. "Let me check with your physician and get you something that will help you relax. "
D. "Pregnancy should be avoided until all of your testing is normal. "
参考答案:B
解析:Clients who develop a hydatidiform mole must be instructed to wait at least 1 year before attempting another pregnancy, despite testing that shows they have returned to normal. A hydatidiform mole is a precursor to cancer, so the client must be monitored carefully for 12 months by an experienced health care provider. Discussing this situation at a later time and checking with the physician to give the client something to relax ignore the client’s immediate concerns. Saying to wait until all tests are normal is vague and provides the client with little information.