WHNP NCC Exam NEWEST 2026 COMPLETE QUESTIONS AND
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
abruption - answer-: risks: HTN, trauma, smoking, cocaine, multipara, uterine anomalies/tumors
sx: bleeding, uterine tender/rigid, cx or uterine irritability, fetal tachy/bradycardia
accreta - answer-: risk: hx c/s, AMA, multipara, prior uterine surgery, Asherman, previa
sx: bleeding
epilepsy - answer-: risks: inc seizure frq/sev, inc mat mort, pre-e, PTL, stillbirth, inc c/s, inc miscarriage,
PPH, IUGR, LBW, defects (2/2 meds)
thrombocytopenia - answer-: plt < 150
sx: bleeding (cutaneous, mucosal), hemorrhage, petechiae, ecchymosis
mgm: draw plts at each PNV & 1-3 mo PP
if ITP - corticosteroids & IV immunoglobulin; splenectomy in 2nd tri
note: avoid NSAIDS, salicylates, avoid vitamin K inj until neonatal plt count drawn, keep neonate for 2-5
days to evaluate
,GERD - answer-: etiology: inc estrogen and progest on LES & enlarging uterus which inc thoracic
pressure
tx: mylanta, magnesium hydroxide, H2 receptor agonist (zantac), avoid sodium carbonate (alka-seltzer)
thromboembolic disorders - answer-: DVT sx: acute pain (unilateral, calf), Homan's sign (pain w/
dorsiflexion of foot), swelling, change in color, change in calf circumference
PE sx: dyspnea, tachypnea, tachycardia, chest pain, cough, fever, anxiety, cyanosis, hemoptysis, dec
breath sounds
dx: US, D-dimer high, conrast venography
tx: LMWH - doesn't cross placenta, short half life, needs higher dose & frq administration
warfarin (vit K agonist) - CI in preg
breech - answer-: frank - legs up over abdomen & chest
complete - legs flexed at hips and knees
risk: labor dystocia, head entrapment, cord prolapse
shoulder presentation - answer-: transverse
CI to birth
risk: multipara, previa, polyhydramnios, uterine anomalies
,chronic HTN w/ superimposed pre-e - answer-: cHTN w/ new onset proteinuria > 300 in 24 hr but no
proteinuria < 20 wks; or sudden inc in proteinuria or BP or plt count of <100k i women w/ HTN &
proteinuria before 20 wks
preeclampsia - answer-: BP >/= 140/90 2x 4 hrs apart or > 160/100 and proteinuria >/= 300 in 24 hr or
pro:cre ratio >/= 0.3, dipstick result of 2+
risk: nullip, young/old, twins, family hx, obese, cHTN, donor, antiphospholipid antibody, thrombophilia
mgm: daily FKC, 2x/wk BP, wkly serologic assessment of plt and liver enzymes
SF: thrombocytopenia (plt < 100k), renal insuff (cre >1.1), imp liver function (2x ALT/AST), pulm edema,
cerebral/visual sx
tx: mag sulfate
cHTN - answer-: >/=140/90 before 20 wks gestation or after 12 wk PP
goals:
if on anti-HTN - keep BP between 120/80 and 160/105; place on 80 mg aspirin qd in late 1st tri, deliver >
38 wks
labetalol, nifedipine, methyldopa - answer-: anti-HTN safe in pregnancy
HELLP - answer-: hemolysis
abnormal peripheral blood smear
inc bilirubin >/= 1.2
elevated liver enzymes - AST, ALT, LDH
plt < 100k
, tx: mag sulfate, crystalloids, bed rest, albumin 5-25%, plasma volume expansion
130+; 95+/180+/155+; 95+/180+/155+/140+ - answer-: elevated glucose results for the following for
GDM are:
50g 1 hr: _______;
75g 2 hr: ______;
100 g 3 hr: ________
DM - answer-: risk:
IUGR, macrosomia, polyhy
non-GDM: NTDs, cardiac anomalies
mgm: NST/BPP from 32+ if poorly controlled or on meds
L/S ratio: 3:1 w/ positive PG = mature
PP: insulin requirements dec 24-48 hrs after placenta delivery
f/u 2 hr GTT at 6-12 wk PP
TT4, TT3 - answer-: which thyroid hormones increase during pregnancy?
hyperthyroidism/thyrotoxicosis - answer-: tx: PTU, methimazole
comps: pre-e, heart failure, PTB, IUGR, LBW, stillbirth
1st tri: PTU (hepatotoxic)
2nd tri: methimazole (fetal anom in 1st tri)
CORRECT DETAILED ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+||BRAND NEW VERSION!!
abruption - answer-: risks: HTN, trauma, smoking, cocaine, multipara, uterine anomalies/tumors
sx: bleeding, uterine tender/rigid, cx or uterine irritability, fetal tachy/bradycardia
accreta - answer-: risk: hx c/s, AMA, multipara, prior uterine surgery, Asherman, previa
sx: bleeding
epilepsy - answer-: risks: inc seizure frq/sev, inc mat mort, pre-e, PTL, stillbirth, inc c/s, inc miscarriage,
PPH, IUGR, LBW, defects (2/2 meds)
thrombocytopenia - answer-: plt < 150
sx: bleeding (cutaneous, mucosal), hemorrhage, petechiae, ecchymosis
mgm: draw plts at each PNV & 1-3 mo PP
if ITP - corticosteroids & IV immunoglobulin; splenectomy in 2nd tri
note: avoid NSAIDS, salicylates, avoid vitamin K inj until neonatal plt count drawn, keep neonate for 2-5
days to evaluate
,GERD - answer-: etiology: inc estrogen and progest on LES & enlarging uterus which inc thoracic
pressure
tx: mylanta, magnesium hydroxide, H2 receptor agonist (zantac), avoid sodium carbonate (alka-seltzer)
thromboembolic disorders - answer-: DVT sx: acute pain (unilateral, calf), Homan's sign (pain w/
dorsiflexion of foot), swelling, change in color, change in calf circumference
PE sx: dyspnea, tachypnea, tachycardia, chest pain, cough, fever, anxiety, cyanosis, hemoptysis, dec
breath sounds
dx: US, D-dimer high, conrast venography
tx: LMWH - doesn't cross placenta, short half life, needs higher dose & frq administration
warfarin (vit K agonist) - CI in preg
breech - answer-: frank - legs up over abdomen & chest
complete - legs flexed at hips and knees
risk: labor dystocia, head entrapment, cord prolapse
shoulder presentation - answer-: transverse
CI to birth
risk: multipara, previa, polyhydramnios, uterine anomalies
,chronic HTN w/ superimposed pre-e - answer-: cHTN w/ new onset proteinuria > 300 in 24 hr but no
proteinuria < 20 wks; or sudden inc in proteinuria or BP or plt count of <100k i women w/ HTN &
proteinuria before 20 wks
preeclampsia - answer-: BP >/= 140/90 2x 4 hrs apart or > 160/100 and proteinuria >/= 300 in 24 hr or
pro:cre ratio >/= 0.3, dipstick result of 2+
risk: nullip, young/old, twins, family hx, obese, cHTN, donor, antiphospholipid antibody, thrombophilia
mgm: daily FKC, 2x/wk BP, wkly serologic assessment of plt and liver enzymes
SF: thrombocytopenia (plt < 100k), renal insuff (cre >1.1), imp liver function (2x ALT/AST), pulm edema,
cerebral/visual sx
tx: mag sulfate
cHTN - answer-: >/=140/90 before 20 wks gestation or after 12 wk PP
goals:
if on anti-HTN - keep BP between 120/80 and 160/105; place on 80 mg aspirin qd in late 1st tri, deliver >
38 wks
labetalol, nifedipine, methyldopa - answer-: anti-HTN safe in pregnancy
HELLP - answer-: hemolysis
abnormal peripheral blood smear
inc bilirubin >/= 1.2
elevated liver enzymes - AST, ALT, LDH
plt < 100k
, tx: mag sulfate, crystalloids, bed rest, albumin 5-25%, plasma volume expansion
130+; 95+/180+/155+; 95+/180+/155+/140+ - answer-: elevated glucose results for the following for
GDM are:
50g 1 hr: _______;
75g 2 hr: ______;
100 g 3 hr: ________
DM - answer-: risk:
IUGR, macrosomia, polyhy
non-GDM: NTDs, cardiac anomalies
mgm: NST/BPP from 32+ if poorly controlled or on meds
L/S ratio: 3:1 w/ positive PG = mature
PP: insulin requirements dec 24-48 hrs after placenta delivery
f/u 2 hr GTT at 6-12 wk PP
TT4, TT3 - answer-: which thyroid hormones increase during pregnancy?
hyperthyroidism/thyrotoxicosis - answer-: tx: PTU, methimazole
comps: pre-e, heart failure, PTB, IUGR, LBW, stillbirth
1st tri: PTU (hepatotoxic)
2nd tri: methimazole (fetal anom in 1st tri)
