North American Registry of Midwives (NARM) Practice Exam

What is characteristic of a syphilitic placenta?

1. It is textured and dense

2. It is abnormally large and pale yellowish gray

3. It has irregular lobes and structures

4. It contains multiple cystic formations

The correct answer is: It is abnormally large and pale yellowish gray

A syphilitic placenta is characterized by being abnormally large and having a pale yellowish gray color. This distinct coloration results from pathological changes that occur due to syphilis infection in the mother, which can lead to placental edema and other alterations. The enlargement of the placenta is often termed "placentomegaly," and it manifests as a significant change that can be observed during imaging or upon examination after delivery. This abnormality can also indicate that the placenta is not functioning properly, potentially affecting the health and outcomes for both the mother and the fetus. The pale coloration is representative of a specific pathological state, as opposed to healthy placentas, which typically have a more consistent, reddish appearance. The other options describe features that are not typical for a syphilitic placenta, such as irregular lobes, cystic formations, or a denser texture. Each of these features may be more closely associated with different types of pathological conditions or complications rather than the direct effects of syphilis on placental structure. Understanding these characteristics can help midwives and healthcare providers in diagnosing and managing conditions related to syphilis during pregnancy.