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Exam (elaborations)

Inpatient Obstetrical Certification NCC Exam Practice Questions and Answers

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  • NCC
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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 hemorrha...

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  • August 29, 2024
  • 20
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • NCC
  • NCC
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©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM




Inpatient Obstetrical Certification NCC Exam
Practice Questions and Answers

Leading cause of perinatal admissions to the ICU - Answer✔️✔️-
Hemorrhagic disorders

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

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

Race most likely to die from post partum hemorrhage - Answer✔️✔️-
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 - Answer✔️✔️-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 - Answer✔️✔️-48

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




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, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM




The classic sign of placenta previa is - Answer✔️✔️-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 - Answer✔️✔️-Placenta previa

Risk factors for placenta previa - Answer✔️✔️-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. - Answer✔️✔️-
Do the ultrasound first

Fetal blood volume is - Answer✔️✔️-100ml/kg

Changes noted during significant blood loss - Answer✔️✔️-Rising
pulse rate

Increase in respiratory rate

Skin changes to pallor

Falling blood pressure (a late finding)

Decreased urinary output

Decreased LOC




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, ©SOPHIABENNET@2024/2025 Wednesday, August 21, 2024 12:13 PM




Characteristic findings in FHR if mother has a significant blood loss
- Answer✔️✔️-Initially, tachycardia

Then bradycardia

Sinusoidal-fetal anemia, hypoxia and acidemia

Persistent late decelerations

Percentage of accreta among women with previa - Answer✔️✔️-5-10%

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

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

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

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

Hemolysis - Answer✔️✔️-lysis of erythrocytes with the release of
hemoglobin

HELLP - Answer✔️✔️-Hemolysis, Elevated Liver Enzymes, Low
Platelets




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