National Association of Neonatal Nurses

Workshop D12 and E12: The Placenta: To Know Me Is To Love Me
September 30th, 2000
San Antonio, Texas

Below are the questions and answers for the quiz distributed during the workshop. (With page in "The Placenta: To Know Me Is To Love Me" textbook where answer can be found, unless otherwise specified.)

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

References

  1. 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.