North American Registry of Midwives (NARM) Practice Exam

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What is called when the umbilical cord is inserted at the edge or margin of the placenta?

  1. Vasa previa

  2. Battledore placenta

  3. Cord looping

  4. Extrachorial placenta

The correct answer is: Battledore placenta

When the umbilical cord is inserted at the edge or margin of the placenta, it is known as a battledore placenta. This term describes the specific orientation of the cord's attachment, which resembles the shape of a battledore, an old type of racket used in badminton. In a battledore placenta, the insertion point at the placental margin may have implications for both the delivery process and the care needed during pregnancy, as it can be associated with an increased risk of certain complications, such as placenta previa or abruptions. Understanding the anatomy and implications of different types of cord insertions is crucial for midwives in order to monitor the health of both the mother and the fetus throughout pregnancy and delivery. This knowledge helps prepare for potential challenges that may arise during labor, guiding appropriate interventions and management strategies.