20-year-old gravida 1, para 0 presents at 10 weeks gestation for her initial prenatal appointment

A 20-year-old gravida 1, para 0 presents at 10 weeks gestation for her initial prenatal appointment. Her pregnancy dating is by certain last menstrual period. On physical examination, no fetal heart tones are audible, and the uterus is larger than expected by clinical dating. She reports having nausea and vomiting for the last few weeks and a small amount of vaginal bleeding. Her serum quantitative beta human chorionic gonadotropin (hCG) level is above 100,000 mIU/mL.

Ultrasonography findings reveal a vesicular pattern secondary to diffuse hydropic swelling and no fetus. Based on these results, you diagnose complete molar pregnancy and decide to proceed with suction curettage in the operating room.

Which of the following correctly describes the recommended preoperative evaluation studies that are appropriate for this patient in the first trimester of pregnancy?

• Clotting functions, chest computed tomography (CT), blood type with antibody screen, renal and liver functions
• Complete blood count, chest x-ray, thyroid studies, blood type with antibody screen, urine hCG
• Complete blood count, blood type with antibody screen
• Serial beta hCG levels, complete blood count, blood type with antibody screen, chest x-ray

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