Inpatient Obstetric Nurse (NCC) Practice Exam

The leading cause of perinatal admissions to the ICU is related to hemorrhagic disorders, which encompass complications such as severe postpartum hemorrhage, placental abruption, and uterine rupture. These conditions pose significant risks for both the mother and the fetus, often requiring intensive monitoring and intervention due to the potential for rapid deterioration.

Severe hemorrhage during pregnancy or after delivery can lead to hypovolemic shock and the need for blood products, aggressive fluid resuscitation, and sometimes surgical intervention. The critical nature of these disorders often necessitates admission to an ICU setting for close observation and management by an interdisciplinary team, highlighting their prominence in the context of perinatal care.

Other conditions listed, such as cardiovascular disorders, preeclampsia, and infectious diseases, can also lead to ICU admissions, but they do not occur as frequently as hemorrhagic events in the perinatal population. For example, while preeclampsia is a common and serious condition that can lead to significant complications, it is typically managed on a maternal fetal medicine unit unless there are severe complications. Therefore, hemorrhagic disorders stand out as the primary reason for these critical care admissions.