& x20;firm fleshy mass, destructed chorionic villi which of the following is the complication of missed abort… - NORCET 10 Mains

NORCET 10 Mains

Obstetrics and Midwifery Nursing

Medium

Appeared in: NORCET 10 Mains

Explanation

A Carneous mole is a specific complication of a missed abortion where the products of conception are retained for an extended period.
It is characterized by the accumulation and organization of blood within the gestational sac, forming a 'firm fleshy mass'.
In this process, the original chorionic villi undergo degeneration and are described as 'destructed', which aligns perfectly with the question's description.

Option A: A blighted ovum (anembryonic pregnancy) is a type of early pregnancy failure where a gestational sac develops without an embryo. It is a cause of miscarriage, not a complication that develops after a missed abortion.
Option B: A hydatidiform mole is a form of gestational trophoblastic disease characterized by abnormal proliferation and cystic swelling of chorionic villi, often described as a 'bunch of grapes'. This contradicts the 'destructed chorionic villi' and 'firm fleshy' nature of a carneous mole.
Option D: An incomplete abortion is a type of miscarriage where some, but not all, of the products of conception have been expelled from the uterus. A missed abortion is defined by the complete retention of a non-viable pregnancy.

Clinical Relevance

Nursing practice connection: This is primarily an exam-oriented knowledge point with limited direct bedside application, so retain Complications of Missed Abortion as background academic context rather than a clinical decision trigger.
Understanding the potential complications of a missed abortion is crucial for patient counseling and management.
Management of missed abortion aims to prevent complications such as carneous mole formation, infection (septic abortion), and disseminated intravascular coagulation (DIC) from prolonged retention of dead tissue.
Nursing care involves monitoring for signs of complication (fever, heavy bleeding, abdominal pain), providing emotional support, and educating the patient on her management options (expectant, medical, or surgical).

How to Approach the Question

First, identify the core clinical scenario: a complication of a 'missed abortion'. This means the fetus has died but was retained.
Next, analyze the descriptive keywords: 'firm fleshy mass' and 'destructed chorionic villi'.
Evaluate each option against these keywords. 'Firm fleshy' suggests organized tissue, likely blood, rather than the cystic, grape-like structures of a hydatidiform mole.
'Destructed villi' points to a degenerative process, ruling out the proliferative nature of a hydatidiform mole.
Recognize that 'carcenous mole' is a likely misspelling of 'Carneous mole', which perfectly fits the description of an old, retained missed abortion where blood has organized into a fleshy mass.
Eliminate other options: a blighted ovum is a cause, not a complication, and an incomplete abortion involves expulsion of tissue, not retention.

Concept Tested & Keywords

Concept Tested: Complications of Missed Abortion
Stem keywords: missed abortion, complication, firm fleshy mass, destructed chorionic villi
Lead-in keywords: which of the following

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E6 Pathology- ROBBINS & COTRAN PATHOLOGIC BASIS OF DISEASE 10TH Ed p. 1033-1035

E6 Medicine Harrison 22e Part 1 p. 756-758