Inpatient Obstetrical Certification NCC Exam Practice Questions and Answers

Inpatient Obstetrical Certification NCC Exam Practice Questions and Answers Leading cause of perinatal admissions to the ICU - Answer️️ - Hemorrhagic disorders Percentage of deaths related to pregnancy related hemorrhages - Answer️️ -17-25% Most maternal deaths from obstetric hemorrhage after first trimester of pregnancy are due to - Answer️️ -Placental abruption Race most likely to die from post partum hemorrhage - Answer️️ - 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 - Answer️️ -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 - Answer️️ -48 Obstetric hemorrhage is defined as a TBL or more than - Answer️️ -1000cc ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM 2 The classic sign of placenta previa is - Answer️️ -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 - Answer️️ -Placenta previa Risk factors for placenta previa - Answer️️ -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. - Answer️️ - Do the ultrasound first Fetal blood volume is - Answer️️ -100ml/kg Changes noted during significant blood loss - Answer️️ -Rising pulse rate Increase in respiratory rate Skin changes to pallor Falling blood pressure (a late finding) Decreased urinary output Decreased LOC ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM 3 Characteristic findings in FHR if mother has a significant blood loss - Answer️️ -Initially, tachycardia Then bradycardia Sinusoidal-fetal anemia, hypoxia and acidemia Persistent late decelerations Percentage of accreta among women with previa - Answer️️ -5-10% If patient has had 2 or more cesarean sections, the likelihood of an accreta is - Answer️️ -Greater than 50% Vasa previa - Answer️️ -Fetal vessels cross the placental membranes in the lower uterine segment and cover the cervical os Velamentous cord insertion - Answer️️ -Fetal vessels run across chorion and amnion without protective Wharton's jelly before entering the placental surface Succenturiate placenta - Answer️️ -One or more small accessory lobes of placental vascular tissue in membranes that are attached to main placenta by fetal vessels Hemolysis - Answer️️ -lysis of erythrocytes with the release of hemoglobin HELLP - Answer️️ -Hemolysis, Elevated Liver Enzymes, Low Platelets ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM 4 Per AWHONN, patients with placenta previa should not be discharged to home until they have gone_____hours with not bleeding - Answer️️ -72 hours Classic symptom of placental abruption - Answer️️ -Painful vaginal bleeding after 20 weeks gestation Risk factors for placental abruption - Answer️️ -Smoking increases risk 90% Maternal hypertension 500% increased risk