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Inpatient Obstetrical Certification NCC Questions with Correct Answers.
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Inpatient Obstetrical Certification NCC Questions with Correct Answers.
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Inpatient Obstetrical Certification NCC Questionswith Correct Answers
Leading cause of perinatal admissions to the ICU Correct Answer-
Hemorrhagic disorders
Percentage of deaths related to pregnancy related hemorrhages Correct
Answer-17-25%
Most maternal deaths from obstetric hemorrhage after first trimester of
pregnancy are due to Correct Answer-Placental abruption
Race most likely to die from post partum hemorrhage Correct Answer-
African Americans
Mortality rate (2006) for white women, African American women and
Hispanic women in the US, stated as deaths per 100,000 live births
Correct Answer-White women 13.3/100,000
African American women 32.7/100,000
Hispanic women 10.2
68% of post partum hemorrhage deaths occur within _______hours of
delivery Correct Answer-48
Obstetric hemorrhage is defined as a TBL or more than Correct Answer-
1000cc
,The classic sign of placenta previa is Correct Answer-painless vaginal
bleeding in the second or third trimester of pregnancy
If you see painless vaginal bleeding in the second or third trimester of
pregnancy, suspect Correct Answer-Placenta previa
Risk factors for placenta previa Correct Answer-previous placenta
previa, advanced maternal age greater than 40, previous cesarean, short
interval between pregnancies, multiparity,previous abortions with
curettage, smoking, race (Asian women at greatest risk), large placenta
In patients with suspected placenta previa, which comes first, a
speculum examination or a confirmatory ultrasound. Correct Answer-Do
the ultrasound first
Fetal blood volume is Correct Answer-100ml/kg
Changes noted during significant blood loss Correct Answer-Rising
pulse rate
Increase in respiratory rate
Skin changes to pallor
Falling blood pressure (a late finding)
Decreased urinary output
Decreased LOC
, Characteristic findings in FHR if mother has a significant blood loss
Correct Answer-Initially, tachycardia
Then bradycardia
Sinusoidal-fetal anemia, hypoxia and acidemia
Persistent late decelerations
Percentage of accreta among women with previa Correct Answer-5-10%
If patient has had 2 or more cesarean sections, the likelihood of an
accreta is Correct Answer-Greater than 50%
Vasa previa Correct Answer-Fetal vessels cross the placental
membranes in the lower uterine segment and cover the cervical os
Velamentous cord insertion Correct Answer-Fetal vessels run across
chorion and amnion without protective Wharton's jelly before entering
the placental surface
Succenturiate placenta Correct Answer-One or more small accessory
lobes of placental vascular tissue in membranes that are attached to main
placenta by fetal vessels
Hemolysis Correct Answer-lysis of erythrocytes with the release of
hemoglobin
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