The obstetrical nurse records the expulsion of the placenta in stage III labor as a Duncan presentation. What does this data represent?
A) The placenta is expelled with the dull side out.
B) The placenta is expelled with the shiny side out.
C) The placenta is not fully expelled.
D) The placenta contains placental fragments.
A
Feedback:
If the placenta is expelled with the dull side out, it is called a Duncan presentation ("dirty Duncan"). This is the maternal side, which is rough and irregular. Excessive bleeding is more likely with this type of placental presentation.
If the placenta is expelled with the shiny (membranous) side out, it is called a Schultze presentation ("shiny Schultze"); this is the fetal side of the placenta. Schultze presentation occurs in approximately 80% of births. The birth attendant examines the expelled placenta and membranes to determine if the placenta is intact. Retained placental fragments are a major cause of hemorrhage following delivery.
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