After delivery, a patient is diagnosed with placenta succenturiata. For what procedure should the nurse prepare this patient?
A) Lavage of the uterus
B) Repair of an episiotomy
C) Manual removal of accessory lobes
D) Emergency resuscitation of the newborn
C
Feedback:
A placenta succenturiata is a placenta that has one or more accessory lobes connected to the main placenta by blood vessels. This disorder needs to be recognized because the small lobes may be retained in the uterus after birth, leading to severe maternal hemorrhage. Once the remaining lobes are recognized and removed from the uterus manually, the uterus will contract with no adverse maternal effects. Uterine lavage is not a treatment for this disorder. This disorder is not specifically associated with an episiotomy. No fetal abnormality is associated with this disorder.
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