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Inpatient Obstetrical Certification Exam NCC Questions and Answers with Complete Solutions | New Update 2026

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Terms in this set (123)



Leading cause of perinatal admissions to the ICU Hemorrhagic disorders


Percentage of deaths related to pregnancy related 17-25%
hemorrhages


Most maternal deaths from obstetric hemorrhage after Placental abruption
first trimester of pregnancy are due to




Race most likely to die from post partum hemorrhage African Americans


Mortality rate (2006) for white women, African White women 13.3/100,000
American women and Hispanic women in the US, African American women 32.7/100,000
stated as deaths per 100,000 live births Hispanic women 10.2


68% of post partum hemorrhage deaths occur within 48
_______hours of delivery


Obstetric hemorrhage is defined as a TBL or more than 1000cc


The classic sign of placenta previa is painless vaginal bleeding in the second or third trimester of pregnancy

, If you see painless vaginal bleeding in the second or Placenta previa
third trimester of pregnancy, suspect


Risk factors for placenta previa 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 Do the ultrasound first
comes first, a speculum examination or a confirmatory
ultrasound.


Fetal blood volume is 100ml/kg




Changes noted during significant blood loss 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 Initially, tachycardia
blood loss Then bradycardia
Sinusoidal-fetal anemia, hypoxia and acidemia
Persistent late decelerations


Percentage of accreta among women with previa 5-10%


If patient has had 2 or more cesarean sections, the Greater than 50%
likelihood of an accreta is


Vasa previa Fetal vessels cross the placental membranes in the lower uterine segment and
cover the cervical os


Velamentous cord insertion Fetal vessels run across chorion and amnion without protective Wharton's jelly
before entering the placental surface


Succenturiate placenta One or more small accessory lobes of placental vascular tissue in membranes
that are attached to main placenta by fetal vessels


Hemolysis lysis of erythrocytes with the release of hemoglobin


HELLP Hemolysis, Elevated Liver Enzymes, Low Platelets

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