Free placental pathology board review questions sample from Med-Challenger.
Med-Challenger offers placental pathology review along with everything else for diagnosing and treating intrapartum and postpartum care with in-depth review questions with detailed explanations. More free intrapartum and postpartum care review questions can be accessed via this week’s Quick Quiz, and via free trial Med-Challenger OBGYN
This week’s case-based question:
A 25-year-old gravida 1 woman at 35 weeks of gestation dated by her last menstrual period presents to you in labor and complaints of contractions. She has not had any prenatal care.
During your evaluation, she experiences a gush of clear fluid followed quickly by heavy, bright-red colored vaginal bleeding. Electronic fetal monitoring at this time shows fetal bradycardia.
She is brought to the operating room for emergent cesarean delivery, after which the neonate requires considerable resuscitation. While extracting the placenta, you notice that its edge is at least 4 cm away from the cervix; the placenta delivers easily. You examine the placenta, membranes, and umbilical cord after delivery.
Which of the following findings on placental examination most likely explains this scenario?
insertion of the umbilical cord 4 cm away from the placenta
presence of a single umbilical artery (SUA)
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