North American Registry of Midwives (NARM) Practice Exam

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What defines a lobulated placenta?

  1. Presence of multiple small cysts

  2. A single lobe that is contorted

  3. Separation into distinct lobes held by membranes

  4. A placenta that is only partially developed

The correct answer is: Separation into distinct lobes held by membranes

A lobulated placenta is characterized by its separation into distinct lobes that are connected by membranes. This unique structure arises during the development of the placenta when the tissue forms in such a way that it segments into multiple lobes rather than forming as a single, solid mass. Each lobe may have its own vessels and some degree of independent function, but they are all still part of the overall placental structure. This condition can have implications for both maternal and fetal health, as the vascular connections between lobes may affect nutrient and oxygen transfer, as well as the overall functionality of the placenta. Understanding the lobulated placental structure is essential for midwives and healthcare providers when assessing placental health during prenatal care. The other options describe different placental features or conditions that do not match the characteristics of a lobulated structure. For example, the presence of multiple small cysts pertains to abnormal growths rather than lobulation, while a single contorted lobe refers to a different developmental issue. A placenta that is partially developed implies an underdevelopment rather than a naturally occurring lobular formation.