NCC Obstetric Inpatient Exam Questions
and Answers
Surgical infection - Answer-An infection occurring within 30 days of medical procedure
(CDC)
Incidence of abdominal incision infections following cesarean birth - Answer-3-15%
(average 5%)
With antibiotic prophylaxis, the incidence of abdominal incision infections following c/s -
Answer-2% or less.
Risk for cesarean postpartum VTE - Answer-1:1000
Cesarean complications in subsequent pregnancies, incidence of abnormal placenta
room (accreta, increta, percreta) - Answer-Accreta- 75-78%
Increta- 17%
Percreta- 5%
TORCH - Answer-Group of viral, bacterial, and protozoan infections that gain access to
fetal bloodstream transplacentally via chorionic villi (toxoplasmosis, other infections,
rubella, cytomegalovirus, herpes simplex virus)
Toxoplasmosis - Answer-T. Gondii (oocyst formed in the cat intestine and subsequently
excretes in the feces)
Definition of postpartum infection - Answer-Temperature of 100.4 (38c) occurring in any
two successive days within the first 10 days postpartum exclusive of the first 24 hours
Endometritis - Answer-Infection of the lining of the uterus
The most common cause of postpartum fever - Answer-Endometritis
Chorioamnionitis - Answer-An inflammation of the fetal membranes (chorion and
amnion) caused by bacteria (can occur up to 10% of all pregnancies)
Syphilis - Answer-Caused by the spirochete Treponema pallidum. Has four clinical
categories: primary, secondary, tertiary and neurosyphilis. Screening: VDRL and RPR
Fetal lung maturity - Answer-2:1 ratio of phospholipids lecithin/spingomyelin (L/S ratio)
and presence of phosphatidyglycerol (PG)
Surfactant production - Answer-Lowers the surface tension of alveoli preventing
collapse during inspiration/expiration
and Answers
Surgical infection - Answer-An infection occurring within 30 days of medical procedure
(CDC)
Incidence of abdominal incision infections following cesarean birth - Answer-3-15%
(average 5%)
With antibiotic prophylaxis, the incidence of abdominal incision infections following c/s -
Answer-2% or less.
Risk for cesarean postpartum VTE - Answer-1:1000
Cesarean complications in subsequent pregnancies, incidence of abnormal placenta
room (accreta, increta, percreta) - Answer-Accreta- 75-78%
Increta- 17%
Percreta- 5%
TORCH - Answer-Group of viral, bacterial, and protozoan infections that gain access to
fetal bloodstream transplacentally via chorionic villi (toxoplasmosis, other infections,
rubella, cytomegalovirus, herpes simplex virus)
Toxoplasmosis - Answer-T. Gondii (oocyst formed in the cat intestine and subsequently
excretes in the feces)
Definition of postpartum infection - Answer-Temperature of 100.4 (38c) occurring in any
two successive days within the first 10 days postpartum exclusive of the first 24 hours
Endometritis - Answer-Infection of the lining of the uterus
The most common cause of postpartum fever - Answer-Endometritis
Chorioamnionitis - Answer-An inflammation of the fetal membranes (chorion and
amnion) caused by bacteria (can occur up to 10% of all pregnancies)
Syphilis - Answer-Caused by the spirochete Treponema pallidum. Has four clinical
categories: primary, secondary, tertiary and neurosyphilis. Screening: VDRL and RPR
Fetal lung maturity - Answer-2:1 ratio of phospholipids lecithin/spingomyelin (L/S ratio)
and presence of phosphatidyglycerol (PG)
Surfactant production - Answer-Lowers the surface tension of alveoli preventing
collapse during inspiration/expiration
