CPM Certified Professional Midwife

Category - Maternal Health Assessment

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A midwife suspects that a client at 18 weeks’ gestation has a hydatidiform mole. Which of the following assessment findings does not support this diagnosis?

Vaginal spotting of bright-red blood
The fundus height of the uterus is palpated at the umbilicus
A sonogram shows a snow-flake pattern
Urine test is determined positive for hCG

Explanation

Answer: A - Vaginal spotting of dark-brown blood, not bright red blood, is usually associated with hydatidiform mole. The uterus tends to expand more rapidly than the usual rate in cases of hydatidiform mole. The fundus height is normally palpated at the umbilicus at 20 weeks.

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