North American Registry of Midwives (NARM) Practice Exam

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What is the typical clinical significance of small placental cysts?

  1. They always indicate fetal distress

  2. They are usually insignificant unless containing a blighted twin

  3. They demonstrate placental maturity

  4. They predict preterm labor

The correct answer is: They are usually insignificant unless containing a blighted twin

Small placental cysts are generally of limited clinical significance and are often considered incidental findings on ultrasound. They typically do not indicate any underlying pathology or complications, such as fetal distress or preterm labor. In most cases, small cysts in the placenta are benign and can be observed without intervention. They may be related to normal placental development, and their presence usually does not affect the health of the pregnancy. It is noted that while the presence of cysts could warrant further evaluation if they are large or if other abnormalities are apparent, small cysts are often insignificant unless there are additional factors, such as the presence of a blighted twin, which could change their clinical relevance. Understanding that small placental cysts are usually harmless helps provide reassurance to expectant mothers and guides appropriate prenatal care. This perspective aligns with the typical management approach in midwifery practice.