Dangers of Molar pregnancy are all of the following, except?

HPSSC - 2015

Obstetrics & Gynaecology

Medium

Appeared in: HPSSC - 2015

Explanation

Habitual abortion, also known as recurrent pregnancy loss, is clinically defined as three or more consecutive pregnancy losses.
This is a distinct reproductive health issue with its own specific causes and is not a direct danger or complication that arises from a single molar pregnancy event.
While a molar pregnancy itself is a type of pregnancy failure, it does not establish a pattern of recurrent losses in subsequent pregnancies.
The other options listed are all well-documented potential complications of a hydatidiform mole.

Option A: Sepsis is a recognized, though less common, immediate complication of a molar pregnancy. It can result from a uterine infection caused by retained products of conception following evacuation.
Option C: Hemorrhage is one of the most common and serious immediate dangers of a molar pregnancy. The abnormal, rapidly growing trophoblastic tissue is extremely vascular and can lead to severe bleeding and shock.
Option D: Choriocarcinoma is a well-known, albeit rare, late complication of a molar pregnancy. It is a malignant form of gestational trophoblastic neoplasia (GTN) that can develop weeks or months after the molar pregnancy has been evacuated.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Complications of Molar Pregnancy as background academic context rather than a clinical decision trigger.
The most critical nursing responsibility following a molar pregnancy is ensuring the patient understands and adheres to the follow-up protocol. This involves serial serum hCG testing to confirm that levels return to normal and to detect persistent gestational trophoblastic disease (GTD) early.
Patient education on the need for reliable contraception for 6-12 months is vital. A subsequent pregnancy would cause hCG levels to rise, making it impossible to distinguish from a recurrence of molar tissue or malignant choriocarcinoma.
Nurses must monitor for signs of immediate complications post-evacuation, such as heavy bleeding (hemorrhage) and fever or foul-smelling discharge (sepsis), and provide emotional support for the pregnancy loss.

How to Approach the Question

First, identify that this is an 'except' question. This means you are looking for the option that is NOT a danger of a molar pregnancy.
Next, recall the core concept: the complications associated with a hydatidiform mole (molar pregnancy).
Evaluate each option against your knowledge. Is Sepsis a known risk? Yes, from infection. Is Hemorrhage a known risk? Yes, it's a major one. Is Choriocarcinoma a known risk? Yes, it's a serious long-term risk.
Now evaluate 'Habitual abortion'. Is a molar pregnancy a cause of recurrent, consecutive miscarriages? No, it is a single abnormal gestational event.
The option that does not fit the category of 'dangers of molar pregnancy' is the correct answer.

Concept Tested & Keywords

Concept Tested: Complications of Molar Pregnancy
Stem keywords: Dangers, Molar pregnancy
Lead-in keywords: except
Negative lead-in flag: The question uses the word 'except', asking to identify the option that is NOT a danger of molar pregnancy.

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