Uterine fibroids
Uterine fibroids ( 15 Questions)
Which statement by the nurse is accurate regarding uterine fibroids and pregnancy?
"Uterine fibroids have no effect on fertility or pregnancy outcomes." This statement is not accurate. Uterine fibroids can indeed have an effect on fertility and pregnancy outcomes. Depending on their size and location, fibroids can obstruct the fallopian tubes, interfere with the implantation of a fertilized egg, or cause complications during pregnancy such as preterm birth and breech presentation. Therefore, this statement is incorrect.
"Fibroids may lead to recurrent miscarriages in some cases." This statement is accurate. Uterine fibroids, especially when located within the uterine cavity or near the fallopian tubes, can increase the risk of recurrent miscarriages. This is because they can disrupt the normal implantation of the embryo and may lead to pregnancy loss. Providing this information to the patient is important for their understanding of potential risks.
"Pregnant women with fibroids never experience complications." This statement is incorrect. While not all pregnant women with fibroids experience complications, there is a higher risk of complications such as preterm birth, breech presentation, and the need for cesarean section among pregnant women with fibroids. Therefore, it is not accurate to say that pregnant women with fibroids never experience complications.
"Surgical removal of fibroids is not recommended during pregnancy." This statement is accurate. Surgical removal of fibroids is generally not recommended during pregnancy due to the increased risk it poses to the developing fetus and the potential for complications. It is usually deferred until after childbirth unless there are exceptional circumstances that require immediate intervention.
Choice A rationale:
"Uterine fibroids have no effect on fertility or pregnancy outcomes." This statement is not accurate.
Uterine fibroids can indeed have an effect on fertility and pregnancy outcomes.
Depending on their size and location, fibroids can obstruct the fallopian tubes, interfere with the implantation of a fertilized egg, or cause complications during pregnancy such as preterm birth and breech presentation.
Therefore, this statement is incorrect.
Choice B rationale:
"Fibroids may lead to recurrent miscarriages in some cases." This statement is accurate.
Uterine fibroids, especially when located within the uterine cavity or near the fallopian tubes, can increase the risk of recurrent miscarriages.
This is because they can disrupt the normal implantation of the embryo and may lead to pregnancy loss.
Providing this information to the patient is important for their understanding of potential risks.
Choice C rationale:
"Pregnant women with fibroids never experience complications." This statement is incorrect.
While not all pregnant women with fibroids experience complications, there is a higher risk of complications such as preterm birth, breech presentation, and the need for cesarean section among pregnant women with fibroids.
Therefore, it is not accurate to say that pregnant women with fibroids never experience complications.
Choice D rationale:
"Surgical removal of fibroids is not recommended during pregnancy." This statement is accurate.
Surgical removal of fibroids is generally not recommended during pregnancy due to the increased risk it poses to the developing fetus and the potential for complications.
It is usually deferred until after childbirth unless there are exceptional circumstances that require immediate intervention.