North American Registry of Midwives (NARM) Practice Exam

What does a mushy and thick placenta suggest about the mother's health condition?

1. Possible severe maternal heart disease

2. Good maternal health status

3. Normal pregnancy advancement

4. Favorable fetal conditions

The correct answer is: Possible severe maternal heart disease

A mushy and thick placenta can indicate a possible severe maternal heart disease condition. This is because certain maternal health issues, particularly those related to cardiovascular function, can lead to abnormal placental development. A thickened placenta can be a sign of inadequate blood flow or oxygen to the placenta, which can occur in cases of maternal heart disease. The placenta’s condition reflects the underlying health of the mother and the nutrients and oxygen available to the fetus. In severe heart disease, the stress on maternal circulation can manifest as placental abnormalities. In contrast, a good maternal health status typically corresponds with a normally functioning placenta, while normal pregnancy advancement would also be associated with typical placental characteristics rather than abnormalities like thickness or mushiness. Lastly, favorable fetal conditions, such as healthy growth and development, are generally supported by a healthy, well-functioning placenta rather than one that presents with abnormal attributes such as mushiness. Therefore, the interpretation of a thick and mushy placenta requires consideration of the potential underlying maternal health issues, particularly relating to the heart.