Inpatient Obstetrical Certification NCC Questions And Answers With 100% Correct Answers
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Course
Inpatient Obstetrical Certification NCC
Institution
Inpatient Obstetrical Certification NCC
Acyanotic defects shunt oxygenated blood to the body. The infant remains "pink". Name four acyanotic
defects: - Patent ductus arteriosus
Atrial septal defects
Ventricular septal defect
Coartication of the aorta
Most maternal deaths from obstetric hemorrhage after first trimester of pregnancy a...
Inpatient Obstetrical Certification NCC
Acyanotic defects shunt oxygenated blood to the body. The infant remains "pink". Name four acyanotic
defects: - Patent ductus arteriosus
Atrial septal defects
Ventricular septal defect
Coartication of the aorta
Most maternal deaths from obstetric hemorrhage after first trimester of pregnancy are due to -
Placental abruption
Race most likely to die from post partum hemorrhage - 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 - 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 - 48
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 third trimester of pregnancy, suspect -
Placenta previa
, 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 comes first, a speculum examination or a confirmatory
ultrasound. - Do the ultrasound first
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 blood loss - Initially, tachycardia
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 likelihood of an accreta is - Greater than 50%
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
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