NFDN 2004 Unit 3.2-3.6 2025/2026 Exam
Questions and Answers | A+ Score
Assured
High Risk Pregnancy - 🧠 ANSWER ✔✔is a pregnancy where the mother or the
fetus has an increased risk of adverse outcomes compared to uncomplicated
pregnancies
●The condition may result from the pregnancy, or it may be a condition that was
present before the person became pregnant.
●Pregnancies that are considered to be at high risk have a higher morbidity and
mortality compared with pregnant persons in the general population
Bleeding - 🧠 ANSWER ✔✔•Bleeding at any time during pregnancy is potentially
life-threatening.
•A major contributor to maternal death around the world is obstetric hemorrhage
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,• Bleeding is experienced by approximately 20% of pregnant persons during the
first trimester, can occur early or late in the pregnancy and may result from
numerous conditions
•Conditions commonly associated with early bleeding (first half of pregnancy)
include threatened or spontaneous abortion, uterine fibroids, ectopic pregnancy,
GTD, and cervical insufficiency.
•Conditions associated with late bleeding include placenta previa, abruptio
placenta, and placenta accreta, which usually occur after the 20th week of
gestation.
Spontaneous abortion - 🧠 ANSWER ✔✔An abortion is the loss of an early
pregnancy, before the 20th week of gestation and 500 g fetal weight.
●Cause: fetal genetic abnormalities, chromosomal abnormalities in the first
trimester and maternal disease in the second trimester
●Require monitoring of hCG levels to validate that all the products of conception
have been expelled.
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TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 2
,●A D&C may not be necessary if the spontaneous abortion appears to be complete
and hCG levels drop
Types of Spontaneous Abortion - 🧠 ANSWER ✔✔Threatened
when there is active bleeding and/or pelvic pain during a pregnancy, the cervix is
closed, and there is no passage of tissue.
Inevitable
there is active bleeding accompanied by severe cramping, the cervix is open and
the products of conception will certainly pass.
Incomplete
the cervix is open, there is heavy bleeding, and products of conception are in the
cervix or partially passed.
placenta previa - 🧠 ANSWER ✔✔•a placental condition that occurs during the last
two trimesters of pregnancy which may be accompanied by mild to severe
bleeding
•The exact cause of placenta previa is unknown
•Placenta develops in lower half of uterus (close to cervix or covers cervix
completely)
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435.
TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 3
, •Lower segment of uterus changes in 3rd trimester results in some bleeding from
where placenta is situated.
●Painless bleeding
placental abruption - 🧠 ANSWER ✔✔●premature separation of a normally
implanted placenta after the 20th week of gestation prior to birth, which leads to
hemorrhage
●it is a significant cause of third-trimester bleeding, with a high mortality rate
●It typically peaks between 24 and 26 weeks' gestation.
●Bleeding from the blood vessel forms a blood clot between the placenta and the
uterine wall. The continued bleeding causes increased pressure behind the placenta
and results in separation from the uterine wall
●Painful Bleeding
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435.
TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 4
Questions and Answers | A+ Score
Assured
High Risk Pregnancy - 🧠 ANSWER ✔✔is a pregnancy where the mother or the
fetus has an increased risk of adverse outcomes compared to uncomplicated
pregnancies
●The condition may result from the pregnancy, or it may be a condition that was
present before the person became pregnant.
●Pregnancies that are considered to be at high risk have a higher morbidity and
mortality compared with pregnant persons in the general population
Bleeding - 🧠 ANSWER ✔✔•Bleeding at any time during pregnancy is potentially
life-threatening.
•A major contributor to maternal death around the world is obstetric hemorrhage
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435.
TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 1
,• Bleeding is experienced by approximately 20% of pregnant persons during the
first trimester, can occur early or late in the pregnancy and may result from
numerous conditions
•Conditions commonly associated with early bleeding (first half of pregnancy)
include threatened or spontaneous abortion, uterine fibroids, ectopic pregnancy,
GTD, and cervical insufficiency.
•Conditions associated with late bleeding include placenta previa, abruptio
placenta, and placenta accreta, which usually occur after the 20th week of
gestation.
Spontaneous abortion - 🧠 ANSWER ✔✔An abortion is the loss of an early
pregnancy, before the 20th week of gestation and 500 g fetal weight.
●Cause: fetal genetic abnormalities, chromosomal abnormalities in the first
trimester and maternal disease in the second trimester
●Require monitoring of hCG levels to validate that all the products of conception
have been expelled.
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435.
TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 2
,●A D&C may not be necessary if the spontaneous abortion appears to be complete
and hCG levels drop
Types of Spontaneous Abortion - 🧠 ANSWER ✔✔Threatened
when there is active bleeding and/or pelvic pain during a pregnancy, the cervix is
closed, and there is no passage of tissue.
Inevitable
there is active bleeding accompanied by severe cramping, the cervix is open and
the products of conception will certainly pass.
Incomplete
the cervix is open, there is heavy bleeding, and products of conception are in the
cervix or partially passed.
placenta previa - 🧠 ANSWER ✔✔•a placental condition that occurs during the last
two trimesters of pregnancy which may be accompanied by mild to severe
bleeding
•The exact cause of placenta previa is unknown
•Placenta develops in lower half of uterus (close to cervix or covers cervix
completely)
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435.
TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 3
, •Lower segment of uterus changes in 3rd trimester results in some bleeding from
where placenta is situated.
●Painless bleeding
placental abruption - 🧠 ANSWER ✔✔●premature separation of a normally
implanted placenta after the 20th week of gestation prior to birth, which leads to
hemorrhage
●it is a significant cause of third-trimester bleeding, with a high mortality rate
●It typically peaks between 24 and 26 weeks' gestation.
●Bleeding from the blood vessel forms a blood clot between the placenta and the
uterine wall. The continued bleeding causes increased pressure behind the placenta
and results in separation from the uterine wall
●Painful Bleeding
COPYRIGHT©NINJANERD 2025/2026. YEAR PUBLISHED 2025. COMPANY REGISTRATION NUMBER: 619652435.
TERMS OF USE. PRIVACY STATEMENT. ALL RIGHTS RESERVED 4
