Comprehensive RN Maternal Newborn 2024 Proctored Exam with
NGN 70 Questions and Ansẉers with Expert-Verified
Explanation 2026 update
,NGN Unfolding Case Study 1 – Placenta Previa (Questions 1– 12)
Scenario: A nurse is caring for a client at 34 weeks gestation who was
admitted with painless, bright red vaginal bleeding. Ultrasound confirms
placenta previa.
4. The client's bleeding increases. The nurse notes that the client's blood
pressure is 90/50 mm Hg and heart rate is 120 bpm. Which of the
following is the priority action?
A) Administer oxytocin
B) Prepare for immediate cesarean section
C) Insert a second IV line
D) Administer oxygen
Correct Answer: B
Rationale: The client is showing signs of hemorrhagic shock. Immediate
cesarean section is indicated to deliver the baby and stop the bleeding.
5. The nurse prepares the client for emergency cesarean section. Which
of the following actions should the nurse take first?
A) Obtain informed consent
B) Insert a urinary catheter
C) Administer preoperative antibiotics
D) Notify the blood bank
Correct Answer: A
,Rationale: Informed consent must be obtained before any surgical
procedure. The nurse should obtain consent first, then perform other
preoperative tasks.
6. The client is Rh-negative and her antibody screen is negative. Which of
the following medications should the nurse anticipate administering after
delivery?
A) Betamethasone
B) Rho(D) immune globulin
C) Magnesium sulfate
D) Oxytocin
Correct Answer: B
Rationale: Rho(D) immune globulin is given to Rh-negative mothers
within 72 hours after delivery if the newborn is Rhpositive.
7. The client delivers a healthy newborn. Which of the following is the
priority assessment for the newborn?
A) Blood glucose level
B) Apgar score
C) Temperature
D) Head circumference
Correct Answer: B
Rationale: The Apgar score is assessed at 1 and 5 minutes to evaluate the
newborn's transition to extrauterine life.
, 8. The client asks about future pregnancies. Which of the following
statements should the nurse include? A) "Placenta previa does not recur
in future pregnancies." B) "There is an increased risk of placenta previa in
future pregnancies."
C) "You will need to have a hysterectomy before future pregnancies."
D) "You cannot have any more children after placenta previa."
Correct Answer: B
Rationale: Women who have had placenta previa have an increased risk
of recurrence in subsequent pregnancies.
1. Which of the following findings is consistent with placenta previa?
A) Severe abdominal pain with dark red bleeding
B) Painless, bright red vaginal bleeding
C) Uterine tenderness and rigidity
D) Contractions every 2 minutes
Correct Answer: B
Rationale: Placenta previa presents with painless, bright red vaginal
bleeding. Abruptio placentae presents with painful, dark red bleeding
and uterine tenderness.
2. The client asks why she cannot have a vaginal examination. Which of
the following responses should the nurse give?
A) "Vaginal examinations can increase your pain."
B) "Vaginal examinations can cause severe bleeding."
C) "Vaginal examinations are not accurate in your condition."
D) "Vaginal examinations are only done in active labor."
NGN 70 Questions and Ansẉers with Expert-Verified
Explanation 2026 update
,NGN Unfolding Case Study 1 – Placenta Previa (Questions 1– 12)
Scenario: A nurse is caring for a client at 34 weeks gestation who was
admitted with painless, bright red vaginal bleeding. Ultrasound confirms
placenta previa.
4. The client's bleeding increases. The nurse notes that the client's blood
pressure is 90/50 mm Hg and heart rate is 120 bpm. Which of the
following is the priority action?
A) Administer oxytocin
B) Prepare for immediate cesarean section
C) Insert a second IV line
D) Administer oxygen
Correct Answer: B
Rationale: The client is showing signs of hemorrhagic shock. Immediate
cesarean section is indicated to deliver the baby and stop the bleeding.
5. The nurse prepares the client for emergency cesarean section. Which
of the following actions should the nurse take first?
A) Obtain informed consent
B) Insert a urinary catheter
C) Administer preoperative antibiotics
D) Notify the blood bank
Correct Answer: A
,Rationale: Informed consent must be obtained before any surgical
procedure. The nurse should obtain consent first, then perform other
preoperative tasks.
6. The client is Rh-negative and her antibody screen is negative. Which of
the following medications should the nurse anticipate administering after
delivery?
A) Betamethasone
B) Rho(D) immune globulin
C) Magnesium sulfate
D) Oxytocin
Correct Answer: B
Rationale: Rho(D) immune globulin is given to Rh-negative mothers
within 72 hours after delivery if the newborn is Rhpositive.
7. The client delivers a healthy newborn. Which of the following is the
priority assessment for the newborn?
A) Blood glucose level
B) Apgar score
C) Temperature
D) Head circumference
Correct Answer: B
Rationale: The Apgar score is assessed at 1 and 5 minutes to evaluate the
newborn's transition to extrauterine life.
, 8. The client asks about future pregnancies. Which of the following
statements should the nurse include? A) "Placenta previa does not recur
in future pregnancies." B) "There is an increased risk of placenta previa in
future pregnancies."
C) "You will need to have a hysterectomy before future pregnancies."
D) "You cannot have any more children after placenta previa."
Correct Answer: B
Rationale: Women who have had placenta previa have an increased risk
of recurrence in subsequent pregnancies.
1. Which of the following findings is consistent with placenta previa?
A) Severe abdominal pain with dark red bleeding
B) Painless, bright red vaginal bleeding
C) Uterine tenderness and rigidity
D) Contractions every 2 minutes
Correct Answer: B
Rationale: Placenta previa presents with painless, bright red vaginal
bleeding. Abruptio placentae presents with painful, dark red bleeding
and uterine tenderness.
2. The client asks why she cannot have a vaginal examination. Which of
the following responses should the nurse give?
A) "Vaginal examinations can increase your pain."
B) "Vaginal examinations can cause severe bleeding."
C) "Vaginal examinations are not accurate in your condition."
D) "Vaginal examinations are only done in active labor."
