Inpatient Obstetric Nurse (NCC) Practice Exam 2025 - Free NCC Practice Questions and Study Guide

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Which condition contributes significantly to maternal mortality due to bleeding?

Preeclampsia

Placental abruption

Placental abruption is a condition that significantly contributes to maternal mortality due to bleeding. This serious complication occurs when the placenta detaches from the uterine wall before delivery, leading to significant maternal hemorrhage and potential fetal distress. The abrupt loss of placental support can lead to a cascade of complications, including shock and ultimately, maternal death if not managed promptly and effectively.

The sudden onset of bleeding associated with placental abruption requires immediate medical intervention to stabilize the mother and prioritize the safety of the fetus. This condition is especially dangerous because it can happen in both severe and mild forms, and its unpredictable nature makes timely diagnosis and intervention crucial for maternal and fetal outcomes.

Other conditions listed do not pose the same level of immediate risk for maternal bleeding. For instance, while preeclampsia is a significant concern that can lead to complications, it primarily affects vascular function and may lead to bleeding only in the context of severe cases where there is hepatocellular rupture. Gestational diabetes mainly impacts glucose metabolism and typically does not result in significant bleeding issues. Hyperemesis gravidarum pertains to severe nausea and vomiting during pregnancy, which, while distressing, does not lead to maternal mortality through bleeding implications.

Thus, placental abruption stands out

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Gestational diabetes

Hyperemesis gravidarum

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