North American Registry of Midwives (NARM) Practice Exam

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What would be the major concern with a placenta that has lobated structures?

Pregnancy complications may arise
All lobes must be thoroughly expelled after delivery
Lobated sections enhance placental functionality
It is a sign of a healthy pregnancy

The correct answer is: All lobes must be thoroughly expelled after delivery

The concern with a placenta that has lobated structures primarily relates to the need for all lobes to be thoroughly expelled after delivery. In cases where the placenta is lobated, there is a risk that one or more lobes might remain in the uterus, leading to complications such as postpartum hemorrhage or infection. Ensuring that all lobes are expelled is crucial for the mother's health following childbirth. This scenario highlights the importance of careful examination of the placenta post-delivery to confirm that no fragments remain, which could compromise the mother's recovery and overall well-being. Other considerations regarding the functions or health implications of lobation are secondary to the necessity of complete placental expulsion.