National Association of Neonatal Nurses
Workshop D12 and E12: The Placenta: To Know Me Is To Love Me
September 30th, 2000
San Antonio, Texas
 
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1. At term, the placenta usually weighs and measures:
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a. 400 grams, 18 x 18 x 3 cm
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b. 470 GRAMS, 20 x 20 x 2 CM (Schuler-Maloney, pg. 61)
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c. 550 grams, 24 x 20 x 1.4 cm
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d. 350 grams, 20 x 14 x 2 cm
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2. "Battledore" placenta refers to a:
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a. right twisted umbilical cord
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b. velamentously inserted umbilical cord
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c. MARGINALLY INSERTED UMBILICAL CORD (Schuler-Maloney, pg. 61)
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d. a cord that has been torn off the fetal surface during manual placental removal
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3. Match the following:
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a. Decidua capsularis: 2 - decidua attached to the membranes
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b. Decidua parietalis: 3 - decidua lining the uterus
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c. Decidua basalis: 1 - decidua underlying the placenta (Schuler-Maloney, pg. 70)
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4. Which of the following is not a layer of the extraplacental membranes?
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a. PLACENTAL BARRIER (Schuler-Maloney, pp. 69-70)
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b.  Decidua
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c.  Amnion
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d.  Chorion
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5.  If the umbilical cord is torn from the placenta during labor, identification of the fetal surface vascular pattern may suggest the insertion site, which may explain fetal distress during labor.
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TRUE or False (Schuler-Maloney, pg. 72)
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6. Right twisted umbilical cords out number left twisted umbilical cords because more people are right handed.
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True or FALSE (Schuler-Maloney, pg. 62)
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7.  Fragmented maternal surface of the placenta may be a result of which two of the following?
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a.  MANUAL REMOVAL
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b. PLACENTA CRETA, DUE TO ABSENCE OR DEFICIENCY OF DECIDUA BASALIS (Schuler-Maloney, pg. 143)
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c.  Abruptio placentae of longstanding duration
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d.  Cesarean section
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8. Single umbilical artery (SUA/two vessel umbilical cord), is most often associated with which of the following congenital anomalies?
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a. tracheo-esophageal fistula
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b. sirenomelia
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c. renal dysplasia or agenesis
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d. OVER 100 MALFORMATIONS ARE ASSOCIATED WITH SUA AND NO ONE ANOMALY PREDOMINATES (Schuler-Maloney, pg. 66)
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9. Candida/yeast infection is easily identified on the umbilical cord.
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TRUE or False (Schuler-Maloney, pg. 65)
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10. Which of the following is true?
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a. meconium may be discharged in response to fetal distress
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b. meconium may not be discharged in response to fetal distress
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c. meconium is thought to be a contributing cause to the development of cerebral palsy
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d. ALL OF THE ABOVE (Schuler-Maloney, pp. 158-159)

 

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References
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Schuler-Maloney D, Lee S: The Placenta: To Know Me Is To Love Me. A reference guide for gross placental examination, published 1998 by DSM PathWorks, Inc., St. Mary's, IA.
 		 
NANN Sept 2000
NSH Sept 2000
ACNM May 2000 
 
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last updated 06/26/2005