Mother and child (ERF)

Question 1

this side of the placenta is deep maroon

Answer 1

maternal surface

Question 2

this side of placenta is gray, glistening, and translucent

Answer 2

Fetal surface

Question 3

A benign hemangioma, of no consequence unless it is huge, in which case it acts as a shunt, consumes the baby’s platelets, and cause congestive heart failure

Answer 3

Chorangioma

Question 4

The basal plate (mom’s side) is quite a bit bigger than the chorionic plate (baby’s side); this will appear as a ring around the edge on the fetal surface. this can cause various problems as you’d expect, since the baby’s wrapped up inside

Answer 4

Circumvallate placenta

-note circummarginate placenta is a forme fruste thats not so worrisome

Question 5

Granulomatized sloughed baby skin cells. See bumps. Usually we see oligohydramnios.

Answer 5

amnion nodosum

Question 6

Is a cord attached to the membrane but away from the placentas. Places the child at greater risk

Answer 6

Velamentous insertion

Question 7

Common cause of miscarriage and can result in damage to body parts in a baby that makes it to term

Answer 7

Amniotic band syndrome

Question 8

Features a good placenta and membranes but no baby

Answer 8

Blighted ovum

-note looks very like a partial mole (according to ERF)

Question 9

Pathologist will eventually see the villi; unlike hydatidiform mole, there’s atrophy rather than proliferation of trophoblast, and the edema of the villi isn’t impressive

Answer 9

Blighted ovum

Question 10

Child and placenta are enormous. usually due to congestive heart failure, most often from severe anemia

Answer 10

Hydrops

-note anemia is from parvo 19 (according to ERF)

Question 11

A twin who died and whose body was flattened by the other childs is called what

Answer 11

Fetus papyraceous

Question 12

what should we suspect in miscarriage and early birth. Its a bacteria

Answer 12

gardnella

Question 13

Past infections become a risk for what abnormality

Answer 13

ectopic pregnancy

Question 14

baby calcifies (Stone child)

Answer 14

lithopedion

Question 15

common bacteria can infect the placenta. If you see granulomas think what

Answer 15

listeria

-note chlamydia infection is likely to produce red eyes in newborn

Question 16

This occurs when the placenta covers the lower uterine segment over the cervical outlet. this can cause premature labor. As the cervix dilates, BLEEDING OCCURS. LOTS

Answer 16

placenta previa

-risk factor can be an old cesarean scar

Question 17

Portion of the placenta that lacks decidua, adhering instead directly to the myometrium

Answer 17

Placenta accreta

-risk factor can be an old ceseraen scar

Question 18

what causes twin-twin transfusion.

Answer 18

one-way valve in the placenta

Question 19

You have twins. One has Acardius, how does it make it to term

Answer 19

the healthy twin provides blood and a beating heart

Question 20

What is the greatest risk for pre-clampsia

Answer 20

is a previous pregnancy w/ pre-clampsia with the same father

Question 21

Pregnant women. BP exceeds 140/90 and there’s 300 mg or more of protein in the urine

Answer 21

Pre-clampsia

-in the liver we will see periportal necrosis plus fatty liver

Question 22

A women with preclampsia, the walls of the uterine arteries fill with (?) and may undergo extensive fibrinoid necrosis

Answer 22

fill with lipid (atherosis)

-women who die bc of preclampsia its usually the liver that hemorrhages

Question 23

what does HELLP stand for

Answer 23

Hemolysis, Elevated Liver enzymes, and Low Platelets) this is preclampsia

Question 24

what is the greatest risk in developing choriocarcinoma

Answer 24

person previously had a hydatidiform mole

Question 25

Abnormal conception characterized by swollen and edematous villi w/ proliferation of trophoblasts

Answer 25

hydatidiform mole

Question 26

this classically presents in the second trimester as passage of grape-like masses through the vaginal canal

Answer 26

Hydatidiform mole

Question 27

Partial or complete? normal ovum fertilized by two sperm; 69 chromosomes

Answer 27

partial mole

Question 28

Partial or complete? Fetal tissue is present

Answer 28

partial mole

Question 29

Partial or complete? Most villi are hydropic

Answer 29

complete mole

Question 30

Partial or complete? Trophoblastic proliferation is diffuse

Answer 30

complete mole

-note partial is focal proliferation

Question 31

Partial or complete? 2-3% chance of developing choriocarcinoma

Answer 31

complete mole

Question 32

Partial or complete? Empty ovum fertilized by two sperm; 46 chromosomes

Answer 32

complete mole

-all dad

Question 33

How often is choriocarcinoma metastatic at presentation

Answer 33

always, just like oat cell