Hydatidiform Mole — NCLEX Cheat Sheet
Grape-like cluster, huge hCG
👤 By the CinnaRN Clinical Content Team
🕐 Updated 2026-07-11
🏷️ Physiological Adaptation
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Use this quick-reference guide to spot, treat, and prevent Hydatidiform Mole on the NCLEX. Keep it handy during review and on exam day!
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- Abnormal trophoblast → no viable fetus
- Grape-like vesicle clusters in uterus
- Dark brown/red vaginal bleeding
- Uterus larger than dates
- Severe N/V, early preeclampsia
- hCG very high (>100,000)
- US → 'snowstorm', no fetal heart
- Suction D&C to evacuate
- Serial hCG x1yr → r/o choriocarcinoma
- No pregnancy x1yr → reliable contraception
✨Quick Tip
hCG levels are markedly elevated and rise abnormally rather than following a normal pregnancy curve.
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