ATI RN Maternal Newborn OB Proctored Retake Exam 2023
With NGN: All 70 Screenshot Questions and Ansẉers with
Expert-Verified Explanation 2026 update
NGN Unfolding Case Study 1 – Amniotic Fluid Embolism
(Questions 1–10)
Scenario: A nurse is caring for a client who is in active labor. Suddenly, the client reports
shortness of breath, chest pain, and feels lightheaded. The nurse notes that the client is
cyanotic, hypotensive, and has altered mental status.
1. Which of the following conditions should the nurse suspect?
A) Pulmonary embolism
B) Amniotic fluid embolism
C) Uterine rupture
D) Placental abruption
Correct Answer: B
Rationale: Amniotic fluid embolism (AFE) is a rare but catastrophic condition that
presents with sudden respiratory distress, hypotension, cyanosis, and altered mental
status during labor or immediately postpartum.
2. Which of the following is the priority action?
A) Administer oxygen
B) Call for emergency assistance
C) Start a second IV line
D) Administer epinephrine
Correct Answer: B
Rationale: AFE is a medical emergency. The nurse should call for emergency assistance
(code) immediately.
,3. The client develops disseminated intravascular coagulation (DIC). Which of the
following laboratory findings should the nurse expect?
A) Elevated platelets
B) Elevated fibrinogen
C) Prolonged PT and PTT
D) Normal D-dimer
Correct Answer: C
Rationale: DIC causes consumption of clotting factors, leading to prolonged PT and
PTT, low platelets, low fibrinogen, and elevated D-dimer.
4. Which of the following are risk factors for amniotic fluid embolism? (Select all
that apply)
A) Advanced maternal age
B) Placenta previa
C) Abruptio placentae
D) Primigravida
E) Oxytocin use
Correct Answers: A, B, C, E
Rationale: Risk factors for AFE include advanced maternal age, placenta previa, abruptio
placentae, oxytocin use, and cesarean section. Primigravida is not a risk factor.
5. The client's condition stabilizes. Which of the following long-term
complications should the nurse monitor for?
A) Neurologic deficits
B) Cardiac dysfunction
C) Renal failure
D) All of the above
Correct Answer: D
Rationale: Survivors of AFE may have long-term complications including neurologic
deficits, cardiac dysfunction, renal failure, and DIC-related complications.
,6. The client asks about the risk of AFE in future pregnancies. Which of the
following responses should the nurse give?
A) "There is no increased risk of recurrence."
B) "There is a small increased risk of recurrence."
C) "You cannot have any more children."
D) "You will need a cesarean section for all future pregnancies."
Correct Answer: B
Rationale: Women who have had an AFE have a small increased risk of recurrence in
subsequent pregnancies.
7. The client's newborn is delivered via emergency cesarean section. Which of the
following is the priority assessment for the newborn?
A) Blood glucose
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 develops DIC and requires blood product transfusion. Which of the
following blood products should the nurse anticipate?
A) Packed red blood cells
B) Platelets
C) Fresh frozen plasma (FFP)
D) All of the above
Correct Answer: D
Rationale: DIC treatment includes PRBCs for anemia, platelets for thrombocytopenia,
and FFP for clotting factors.
, 9. The client is transferred to the ICU. Which of the following should the nurse
include in the handoff report?
A) Time of onset of symptoms
B) Vital signs
C) Interventions performed
D) All of the above
Correct Answer: D
Rationale: The handoff report should include the time of onset, vital signs,
interventions, and response to treatment.
10. The client's family asks about the prognosis for AFE. Which of the following
responses should the nurse give?
A) "The prognosis is excellent with treatment."
B) "AFE has a high mortality rate, but the client is receiving aggressive treatment."
C) "Most women make a full recovery."
D) "There are no long-term effects."
Correct Answer: B
Rationale: AFE has a high mortality rate (up to 60-80%), but aggressive treatment
improves outcomes. The nurse should be honest but supportive.
NGN Unfolding Case Study 2 – Incompetent Cervix
(Questions 11–20)
Scenario: A nurse is caring for a client at 18 weeks gestation who has a history of
second-trimester pregnancy loss. The client reports pelvic pressure and increased
vaginal discharge.
11. Which of the following conditions should the nurse suspect?
A) Incompetent cervix (cervical insufficiency)
B) Preterm labor
C) Placenta previa
D) Abruptio placentae
With NGN: All 70 Screenshot Questions and Ansẉers with
Expert-Verified Explanation 2026 update
NGN Unfolding Case Study 1 – Amniotic Fluid Embolism
(Questions 1–10)
Scenario: A nurse is caring for a client who is in active labor. Suddenly, the client reports
shortness of breath, chest pain, and feels lightheaded. The nurse notes that the client is
cyanotic, hypotensive, and has altered mental status.
1. Which of the following conditions should the nurse suspect?
A) Pulmonary embolism
B) Amniotic fluid embolism
C) Uterine rupture
D) Placental abruption
Correct Answer: B
Rationale: Amniotic fluid embolism (AFE) is a rare but catastrophic condition that
presents with sudden respiratory distress, hypotension, cyanosis, and altered mental
status during labor or immediately postpartum.
2. Which of the following is the priority action?
A) Administer oxygen
B) Call for emergency assistance
C) Start a second IV line
D) Administer epinephrine
Correct Answer: B
Rationale: AFE is a medical emergency. The nurse should call for emergency assistance
(code) immediately.
,3. The client develops disseminated intravascular coagulation (DIC). Which of the
following laboratory findings should the nurse expect?
A) Elevated platelets
B) Elevated fibrinogen
C) Prolonged PT and PTT
D) Normal D-dimer
Correct Answer: C
Rationale: DIC causes consumption of clotting factors, leading to prolonged PT and
PTT, low platelets, low fibrinogen, and elevated D-dimer.
4. Which of the following are risk factors for amniotic fluid embolism? (Select all
that apply)
A) Advanced maternal age
B) Placenta previa
C) Abruptio placentae
D) Primigravida
E) Oxytocin use
Correct Answers: A, B, C, E
Rationale: Risk factors for AFE include advanced maternal age, placenta previa, abruptio
placentae, oxytocin use, and cesarean section. Primigravida is not a risk factor.
5. The client's condition stabilizes. Which of the following long-term
complications should the nurse monitor for?
A) Neurologic deficits
B) Cardiac dysfunction
C) Renal failure
D) All of the above
Correct Answer: D
Rationale: Survivors of AFE may have long-term complications including neurologic
deficits, cardiac dysfunction, renal failure, and DIC-related complications.
,6. The client asks about the risk of AFE in future pregnancies. Which of the
following responses should the nurse give?
A) "There is no increased risk of recurrence."
B) "There is a small increased risk of recurrence."
C) "You cannot have any more children."
D) "You will need a cesarean section for all future pregnancies."
Correct Answer: B
Rationale: Women who have had an AFE have a small increased risk of recurrence in
subsequent pregnancies.
7. The client's newborn is delivered via emergency cesarean section. Which of the
following is the priority assessment for the newborn?
A) Blood glucose
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 develops DIC and requires blood product transfusion. Which of the
following blood products should the nurse anticipate?
A) Packed red blood cells
B) Platelets
C) Fresh frozen plasma (FFP)
D) All of the above
Correct Answer: D
Rationale: DIC treatment includes PRBCs for anemia, platelets for thrombocytopenia,
and FFP for clotting factors.
, 9. The client is transferred to the ICU. Which of the following should the nurse
include in the handoff report?
A) Time of onset of symptoms
B) Vital signs
C) Interventions performed
D) All of the above
Correct Answer: D
Rationale: The handoff report should include the time of onset, vital signs,
interventions, and response to treatment.
10. The client's family asks about the prognosis for AFE. Which of the following
responses should the nurse give?
A) "The prognosis is excellent with treatment."
B) "AFE has a high mortality rate, but the client is receiving aggressive treatment."
C) "Most women make a full recovery."
D) "There are no long-term effects."
Correct Answer: B
Rationale: AFE has a high mortality rate (up to 60-80%), but aggressive treatment
improves outcomes. The nurse should be honest but supportive.
NGN Unfolding Case Study 2 – Incompetent Cervix
(Questions 11–20)
Scenario: A nurse is caring for a client at 18 weeks gestation who has a history of
second-trimester pregnancy loss. The client reports pelvic pressure and increased
vaginal discharge.
11. Which of the following conditions should the nurse suspect?
A) Incompetent cervix (cervical insufficiency)
B) Preterm labor
C) Placenta previa
D) Abruptio placentae
