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INPATIENT OBSTETRICAL CERTIFICATION NCC QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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INPATIENT OBSTETRICAL CERTIFICATION NCC QUESTIONS AND ANSWERS WITH SOLUTIONS 2024
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INPATIENT OBSTETRICALCERTIFICATION NCC QUESTIONS AND
ANSWERS WITH SOLUTIONS 2024
LeadingBcauseBofBperinatalBadmissionsBtoBtheBICUB-BANSWERBHemorrhagicBdisorders
PercentageBofBdeathsBrelatedBtoBpregnancyBrelatedBhemorrhagesB-BANSWERB17-25%
MostBmaternalBdeathsBfromBobstetricBhemorrhageBafterBfirstBtrimesterBofBpregnancyBareBdueBtoB-
BANSWERBPlacentalBabruption
RaceBmostBlikelyBtoBdieBfromBpostBpartumBhemorrhageB-BANSWERBAfricanBAmericans
MortalityBrateB(2006)BforBwhiteBwomen,BAfricanBAmericanBwomenBandBHispanicBwomenBinBtheBUS,BstatedB
asBdeathsBperB100,000BliveBbirthsB-BANSWERBWhiteBwomenB13.3/100,000
AfricanBAmericanBwomenB32.7/100,000
HispanicBwomenB10.2
68%BofBpostBpartumBhemorrhageBdeathsBoccurBwithinB_______hoursBofBdeliveryB-BANSWERB48
ObstetricBhemorrhageBisBdefinedBasBaBTBLBorBmoreBthanB-BANSWERB1000cc
TheBclassicBsignBofBplacentaBpreviaBisB-
BANSWERBpainlessBvaginalBbleedingBinBtheBsecondBorBthirdBtrimesterBofBpregnancy
IfByouBseeBpainlessBvaginalBbleedingBinBtheBsecondBorBthirdBtrimesterBofBpregnancy,BsuspectB-
BANSWERBPlacentaBprevia
RiskBfactorsBforBplacentaBpreviaB-
BANSWERBpreviousBplacentaBprevia,BadvancedBmaternalBageBgreaterBthanB40,BpreviousBcesarean,BshortBint
ervalBbetweenBpregnancies,Bmultiparity,previousBabortionsBwithBcurettage,Bsmoking,BraceB(AsianBwomenB
atBgreatestBrisk),BlargeBplacenta
, InBpatientsBwithBsuspectedBplacentaBprevia,BwhichBcomesBfirst,BaBspeculumBexaminationBorBaBconfirmator
yBultrasound.B-BANSWERBDoBtheBultrasoundBfirst
FetalBbloodBvolumeBisB-BANSWERB100ml/kg
ChangesBnotedBduringBsignificantBbloodBlossB-BANSWERBRisingBpulseBrate
IncreaseBinBrespiratoryBrate
SkinBchangesBtoBpallor
FallingBbloodBpressureB(aBlateBfinding)
DecreasedBurinaryBoutput
DecreasedBLOC
CharacteristicBfindingsBinBFHRBifBmotherBhasBaBsignificantBbloodBlossB-BANSWERBInitially,Btachycardia
ThenBbradycardia
Sinusoidal-fetalBanemia,BhypoxiaBandBacidemia
PersistentBlateBdecelerations
PercentageBofBaccretaBamongBwomenBwithBpreviaB-BANSWERB5-10%
IfBpatientBhasBhadB2BorBmoreBcesareanBsections,BtheBlikelihoodBofBanBaccretaBisB-
BANSWERBGreaterBthanB50%
VasaBpreviaB-
BANSWERBFetalBvesselsBcrossBtheBplacentalBmembranesBinBtheBlowerButerineBsegmentBandBcoverBtheBcervi
calBos
VelamentousBcordBinsertionB-
BANSWERBFetalBvesselsBrunBacrossBchorionBandBamnionBwithoutBprotectiveBWharton'sBjellyBbeforeBenterin
gBtheBplacentalBsurface
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