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Placenta VO/Notes

Total questions: 46

Worksheet time: 31mins

Name
Class
Date
1.

What is the shape of the placenta?

(a)  

2.

What is the weight of the placenta?

a)

200-300 grams

b)

300-400 grams

c)

400-500 grams

d)

500-600 grams

3.

What is the major functional unit of the placenta?

(a)  

4.

The placenta consists of the (a)   plate on the fetal side

5.

The placenta consists of the (a)   plate on the maternal side

6.

The placenta may be identified by how many weeks gestation?

a)

6-8 weeks

b)

8-10 weeks

c)

10-12 weeks

d)

12-14 weeks

7.

The umbilical cord inserts (a)   into the placenta

8.

What is the thickness of the placenta after 23 weeks gestation?

a)

2-3cm

b)

3-5cm

c)

5-7cm

d)

3-4cm

9.

What thickness measurement of the placenta is considered abnormal?

a)

>1cm

b)

>3cm

c)

>4cm

d)

>2cm

10.

What are the four different positions of the placenta?

a)

fundal

b)

medial

c)

lateral

d)

anterior

e)

posterior

11.

What are some of the functions of the placenta? (Select all that apply).

a)

discretion

b)

protection

c)

storage

d)

hormone production

e)

excretion

12.

Oxygenated blood enters the fetus via what?

a)

umbilical vein

b)

umbilical artery

c)

portal vein

d)

placental vein

e)

hepatic artery

13.

Deoxygenated blood returns to the placenta via what?

a)

umbilical vein

b)

umbilical artery

c)

portal vein

d)

hepatic vein

e)

hepatic artery

14.

The sonographic appearance of the placenta is (a)   , with a midlevel gray appearance

15.

What is the sonographic appearance of the retroplacental complex?

a)

isoechoic

b)

hypoechoic

c)

anechoic

d)

hyperechoic

16.

What is the sonographic appearance of the retroplacental complex in relation to the myometrium?

a)

isoechoic

b)

hypoechoic

c)

anechoic

d)

hyperechoic

17.

What is the normal measurement of the placenta?

a)

6-7mm

b)

7-8mm

c)

8-9mm

d)

9-10mm

18.

Which placenta grading is being described: small intraplacental calcifications randomly dispersed?

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

19.

Select the types of placental grades

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

e)

Grade 4

20.

Which placenta grading is being described: calcification of the basilar plate?

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

21.

Which placenta grading is being described: calcified indentations of the placenta extending from the chorionic plate to the basilar plate?

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

22.

Which placenta grading is being described: smooth chorionic plate, homogeneous texture?

a)

Grade 0

b)

Grade 1

c)

Grade 2

d)

Grade 3

23.

Approximately what percent of placentas will reach a grade 3 placenta grading by 40 weeks gestation?

a)

5-10%

b)

15-20%

c)

25-30%

d)

30-35%

24.

Calcifications are delayed with what?

a)

hypertension

b)

IUGR

c)

maternal diabetes

d)

Rh sensitization

e)

smoking

25.

Calcifications are accelerated with what?

a)

hypertension

b)

IUGR

c)

maternal diabetes

d)

Rh sensitization

e)

smoking

26.

(a)   lobe describes one or more small lobes in addition to the main placenta.

27.

(a)   placenta describes a ring around the uterus

28.

Placenta ____________ is a covering over the entire placenta

a)

accreta

b)

increta

c)

membrancea

d)

percreta

29.

What term describes a placenta that extends beyond the chorionic plate or the attachment of the placental membranes to the fetal surface of the placenta rather than to the underlying villous placental margin?

a)

circumvallate placenta

b)

annular placenta

c)

placenta previa

d)

placenta membrancea

30.

(a)   describes an enlarged placenta weighing more than 600 grams

31.

Which of the following are ultrasound findings of placentomegaly?

a)

appears abnormally thinned

b)

measures >4cm thick in AP

c)

measures 2-3cm thick in AP

d)

appears abnormally thick

32.

Select the four types of placenta previas.

a)

low lying previa

b)

partial previa

c)

close previa

d)

marginal previa

e)

complete previa

33.

93% of patients with placenta previa have what common symptom?

(a)  

34.

Placental (a)   describes when the premature placental detachment of a normally implanted placenta before delivery

35.

What is the mortality percentage rate of placental abruption?

a)

30-60%

b)

50-75%

c)

20-60%

d)

25-50%

36.

Placental (a)   describes bleeding from the placenta

37.

Which bleeds are more likely to resolve?

a)

1st trimester

b)

2nd trimester

c)

3rd trimester

d)

post-delivery

38.

What is the sonographic appearance of an acute hemorrhage?

a)

isoechoic to the placenta

b)

hypoechoic to the placenta

c)

hyperechoic to the placenta

39.

A morbidly adherent placenta is also known as which of the following?

a)

placenta accreta

b)

placenta increta

c)

placenta percreta

d)

placental hemorrhage

40.

What term describes the penetration of the chorionic villi through the uterus; rarest form, most severe form?

a)

placenta accreta

b)

placenta increta

c)

placenta percreta

41.

What term describes the chorionic villi being attached to the myometrium without muscular invasion; mildest form, most common?

a)

placenta accreta

b)

placenta increta

c)

placenta percreta

42.

What term describes the further extension of the chorionic villi into the myometrium, not as common, and invades 2/3?

a)

placenta accreta

b)

placenta increta

c)

placenta percreta

43.

A/an (a)   is a benign vascular malformation usually of no clinical significance found on the placenta and may represent a mass

44.

Select all of the following that apply to chorioangiomas.

a)

usually singular

b)

usually multiple

c)

usually near the cord insertion

d)

complex

e)

protrudes from maternal surface

45.

Are teratomas common or rare?

a)

common

b)

rare

46.

A (a)   placenta describes two placentas of the same size