ATI RN Maternal Newborn Proctored
2023 Retake Exam with NGN Version 2
(Verified Revised Full Exam)
# ATI RN MATERNAL NEWBORN OB PROCTORED
RETAKE V2 EXAM 2023 WITH NGN
**Question 1**
A client at 32 weeks' gestation reports sudden painless vaginal
bleeding. Which condition is most likely?
- A. Placenta previa
- B. Placental abruption
- C. Uterine rupture
- D. Cervical dilation
,**Correct Answer: A. Placenta previa**
**Rationale:** Placenta previa presents with painless, bright red
vaginal bleeding in the second or third trimester. Placental abruption is
typically associated with painful, dark bleeding and uterine rigidity .
---
**Question 2 (Select All That Apply)**
Which findings are risk factors for preeclampsia? (Select all that apply)
- A. First pregnancy (nulliparity)
- B. Chronic hypertension
- C. Maternal age 17 years
- D. Multiparity
- E. Diabetes mellitus
**Correct Answers: A, B, C, E**
**Rationale:** Risk factors for preeclampsia include nulliparity, chronic
hypertension, extremes of maternal age (adolescents and women over
,35), diabetes mellitus, multiple gestation, obesity, and prior history of
preeclampsia. Multiparity without other risk factors is not a significant
risk factor .
---
**Question 3 (NGN Case Study – Trend Recognition)**
A client at 30 weeks of gestation has the following assessment findings:
- BP: 150/96 mm Hg
- 3+ proteinuria
- Headache
- Epigastric pain
Which complication is developing?
- A. HELLP syndrome
- B. Mild gestational hypertension
- C. Hyperemesis gravidarum
- D. Preterm labor
, **Correct Answer: A. HELLP syndrome**
**Rationale:** The combination of severe preeclampsia findings
(hypertension, proteinuria, headache) with epigastric pain suggests
HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets).
Epigastric or right upper quadrant pain indicates liver involvement and
is a medical emergency .
---
**Question 4 (Prioritization)**
Which client should the nurse assess first?
- A. A client at 10 weeks gestation reporting nausea
- B. A client at 39 weeks with contractions every 10 minutes
- C. A client at 28 weeks reporting decreased fetal movement
- D. A client at 16 weeks requesting prenatal vitamins
**Correct Answer: C. A client at 28 weeks reporting decreased fetal
movement**
2023 Retake Exam with NGN Version 2
(Verified Revised Full Exam)
# ATI RN MATERNAL NEWBORN OB PROCTORED
RETAKE V2 EXAM 2023 WITH NGN
**Question 1**
A client at 32 weeks' gestation reports sudden painless vaginal
bleeding. Which condition is most likely?
- A. Placenta previa
- B. Placental abruption
- C. Uterine rupture
- D. Cervical dilation
,**Correct Answer: A. Placenta previa**
**Rationale:** Placenta previa presents with painless, bright red
vaginal bleeding in the second or third trimester. Placental abruption is
typically associated with painful, dark bleeding and uterine rigidity .
---
**Question 2 (Select All That Apply)**
Which findings are risk factors for preeclampsia? (Select all that apply)
- A. First pregnancy (nulliparity)
- B. Chronic hypertension
- C. Maternal age 17 years
- D. Multiparity
- E. Diabetes mellitus
**Correct Answers: A, B, C, E**
**Rationale:** Risk factors for preeclampsia include nulliparity, chronic
hypertension, extremes of maternal age (adolescents and women over
,35), diabetes mellitus, multiple gestation, obesity, and prior history of
preeclampsia. Multiparity without other risk factors is not a significant
risk factor .
---
**Question 3 (NGN Case Study – Trend Recognition)**
A client at 30 weeks of gestation has the following assessment findings:
- BP: 150/96 mm Hg
- 3+ proteinuria
- Headache
- Epigastric pain
Which complication is developing?
- A. HELLP syndrome
- B. Mild gestational hypertension
- C. Hyperemesis gravidarum
- D. Preterm labor
, **Correct Answer: A. HELLP syndrome**
**Rationale:** The combination of severe preeclampsia findings
(hypertension, proteinuria, headache) with epigastric pain suggests
HELLP syndrome (Hemolysis, Elevated Liver enzymes, Low Platelets).
Epigastric or right upper quadrant pain indicates liver involvement and
is a medical emergency .
---
**Question 4 (Prioritization)**
Which client should the nurse assess first?
- A. A client at 10 weeks gestation reporting nausea
- B. A client at 39 weeks with contractions every 10 minutes
- C. A client at 28 weeks reporting decreased fetal movement
- D. A client at 16 weeks requesting prenatal vitamins
**Correct Answer: C. A client at 28 weeks reporting decreased fetal
movement**
