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Exam (elaborations)

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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Uploaded on
September 3, 2024
Number of pages
14
Written in
2024/2025
Type
Exam (elaborations)
Contains
Questions & answers

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  • inpatient obstetrical certification ncc questions

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INPATIENT OBSTETRICAL
CERTIFICATION 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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