An OB nurse is educating a new graduate nurse about the signs and symptoms of a hydatidiform mole.
The new graduate nurse understands the teaching when he identifies the expected assessment findings with this condition.
Which of the following signs and symptoms would the nurse identify?

Choice A rationale

Nausea is typically present in patients with a hydatidiform mole due to high hCG levels.

Choice B rationale

Category II fetal heart rate patterns are indicative of intermediate fetal compromise but are not specific to hydatidiform mole.

Choice C rationale

hCG levels are typically elevated, not decreased, in a hydatidiform mole due to the abnormal growth of trophoblastic tissue.

Choice D rationale

An enlarged uterus is a classic sign of a hydatidiform mole due to the overgrowth of placental tissue without a viable fetus.

Choice A rationale

Placenta accreta spectrum involves abnormal adherence of the placenta to the uterine wall, leading to complications during delivery and often necessitating a cesarean and possibly a hysterectomy.

Choice B rationale

Placenta previa refers to the placenta covering the cervix, which can cause bleeding but is managed differently.

Choice C rationale

Placenta abruption is the premature separation of the placenta from the uterus, leading to pain and bleeding, managed differently from accreta spectrum.

Choice D rationale

Posterior placental location refers to the position of the placenta in the uterus and does not typically require a cesarean and hysterectomy unless complicated by other factors.