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$29 one-time. 30-day access to all 6,000+ questions and 330 NGN clinical case studies. No subscription, no recurring charges.

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NCLEX PrePro includes 330 full NGN unfolding clinical case studies — each with 6 linked clinical-judgment questions mapped to all 6 layers of the NCSBN Clinical Judgment Measurement Model.

Is NCLEX PrePro updated for the April 2026 test plan?

Yes — the entire question bank is aligned with the April 2026 NCSBN test plan, including revised content category weightings and expanded NGN item types.

Is there a free sample?

Yes — try 20 free NCLEX-style questions including a full NGN case study. No credit card required.

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Complete 70%+ of our questions. If you do not pass NCLEX on your first attempt, we extend your access for 30 days at no additional charge.

OB / Maternity · NGN Unfolding Case Study

Placenta Previa Hemorrhage

1 linked questionsAll 6 CJMM layersApril 2026 NCLEX test plan

Clinical Scenario

A 33-year-old G3P2 at 32 weeks gestation presents to labor and delivery with painless bright red vaginal bleeding that began 2 hours ago — she has soaked through 2 perineal pads. She denies abdominal pain, contractions, or ruptured membranes. Obstetric history: 2 prior uncomplicated vaginal deliveries. A prenatal ultrasound 2 weeks ago documented a complete placenta previa covering the internal cervical os. Vital signs: HR 112 bpm, BP 100/64 mmHg (baseline 118/76), RR 18, SpO2 98% on room air. A

What You'll Practice

This NGN unfolding case study walks you through 1 linked clinical-judgment questions covering the full NCSBN Clinical Judgment Measurement Model. Each question is mapped to a specific cognitive layer; together they take you from recognizing the first cue at the bedside through evaluating whether your interventions worked.

NGN question formats in this case

The April 2026 NCSBN test plan rewards practice across multiple NGN item types. This case includes:

1× Bow-tie

Each format scores differently — bow-tie centers are all-or-nothing, matrix and cloze use partial-credit per row/blank, extended response is polytomous. Practicing the formats together builds the format fluency the exam rewards. See our NGN guide for the scoring breakdown of each.

Sample question from this case

Here's the prompt for the first question in this case — read it once, then think about what you would assess first. (Answer choices and rationale unlock with $29 access.)

"A 33-year-old G3P2 at 32 weeks gestation presents to labor and delivery with painless bright red vaginal bleeding that began 2 hours ago — she has soaked through 2 perineal pads. She denies abdominal pain, contractions, or ruptured membranes. Obstetric history: 2 prior uncomplicated vaginal deliveries. A prenatal ultra…"

Clinical topics covered

This case study touches on the following clinical concept areas:

obstetricsmaternityantepartum-hemorrhageplacenta-previabow-tie

Why this OB / Maternity case matters for the NCLEX

OB / Maternity content represents a meaningful share of the NCSBN April 2026 test plan, and unfolding case studies in this category test exactly the kind of bedside reasoning the exam was redesigned to measure. Working through this case builds the recognize-analyze-prioritize-act sequence you'll use on test day — and on every floor you ever work.

The single biggest predictor of NGN performance isn't memorization — it's pattern recognition built from doing many full case studies under realistic time pressure. Reading this scenario, predicting the first nursing action before answering, and reviewing the rationale afterward is the loop that wires the reasoning skill into your head.

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About NCLEX PrePro NGN Case Studies

NCLEX PrePro hosts 330 NGN unfolding clinical case studies alongside 6,000+ NGN-style practice questions across 15 categories — fully aligned with the April 2026 NCSBN test plan. Every case is reviewed against the Clinical Judgment Measurement Model. Learn how to study NGN clinical-judgment questions →