North American Registry of Midwives (NARM) Practice Exam

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What does a succenturiate placenta involve?

A single connected mass of placental tissue
The presence of detached accessory lobes connected by blood vessels
An entirely separated placenta
A placenta that is overly thin

The correct answer is: The presence of detached accessory lobes connected by blood vessels

The condition of a succenturiate placenta is characterized by the presence of one or more accessory lobes of placental tissue that are separate from the main body of the placenta. These accessory lobes are connected to the main placental mass by blood vessels. It is important in clinical practice to identify this condition because if an accessory lobe remains in the uterus after delivery, it can lead to complications such as retained placenta, which may cause postpartum hemorrhage or infection. The other options do not accurately describe this specific type of placenta. For instance, a single connected mass of placental tissue suggests a normal placenta without any accessory lobes, while an entirely separated placenta would indicate a different complication, such as a placenta previa or placental abruption. An overly thin placenta relates to another condition entirely and does not denote the presence of accessory lobes. Understanding the unique features of a succenturiate placenta is essential for midwifery practice and ensuring positive maternal and neonatal outcomes.