WGU D447 WOMEN'S AND
CHILDREN'S HEALTH OA
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ nursing assessment for women over age 35.
Answer: preconception counseling: lifestyle changes, beginning pregnancy
in optimal state of healthlab and diagnostic: amniocentesis, quadruple blood
test screen
◍ what is engorgement?.
Answer: swelling of the breast tissue due to increase in blood and lymph
supply as a precursor to lactation
◍ methods of induction.
Answer: -cervical ripening-herbal agents-castor oil, hot baths, enemas
(BAD)-sex w breast stimulation-mechanical/surgical
methods-pharmacologic agents-oxytocin
◍ variable decelerations.
Answer: cord compressionD/C oxytocinamnioinfusionposition
changebreathing techniquesoxygen (non-rebreather)
◍ therapeutic management of chronic hypertension.
Answer: -lifestyle changes-preconception counseling-antihypertensive
agents-fetal movement monitoring-serial ultrasound
◍ nursing management after c-section.
Answer: preop care and post-op care
◍ nursing management of dystocia.
Answer: -Promoting labor progress-Providing physical and emotional
, comfort-Promoting empowerment
◍ abnormal nursing labs of iron-deficiency anemia during pregnancy.
Answer: -low hemoglobin-low hematocrit-low serum iron
◍ PPROM if no labor in 48 hours.
Answer: pelvic rest and D/C home
◍ assessment for magnesium toxicity.
Answer: - assess deep tendon reflexes (DTR) - check for ankle clonus -
monitor serum magnesium closely
◍ PUD Diet Recommendations.
Answer: Avoid irritants (e.g., spicy food, caffeine).
◍ interventions for engorgement if not breast feeding.
Answer: tight supportive bra, ice, avoidance of breast stimulation
◍ HESI Practice Tests.
Answer: Resource that simulates exam scenarios for nursing students.
◍ toxoplasmosis risk to fetus.
Answer: blueberry muffin rashretinitishydrocephalusintracranial
calcifications
◍ Management of Ischemic Stroke.
Answer: Thrombolytic therapy (e.g., tPA).
◍ cultural considerations for postpartum.
Answer: be open and nonjudgmental and willing to learn about ethnically
diverse populations relating to beliefs, practices and customs post-partum
◍ Evaluate therapeutic responses in Asthma.
Answer: ABG interpretation and symptom improvement.
◍ Terbutaline use.
Answer: tocolytic drug - stops contractions
◍ eating pattern of newborns.
Answer: must eat 8-12 x / day
, ◍ Eczema Treatment.
Answer: Therapeutic Response: Reduced dryness and itching, improved skin
integrity.
◍ nursing management of hyperemesis.
Answer: -Comfort and nutrition (NPO, IV fluids, hygiene, oral care,
I&O)-Support and education: reassurance; home care follow-up
◍ if the pts. bladder is off to the side, what would you recommend?.
Answer: use the bathroom
◍ placenta previa.
Answer: complete or partial covering of placenta over cervical os (due to
placental implantation in abnormal location)
◍ Nursing management of thromboembolic conditions.
Answer: -Prevention-Adequate circulation: NSAIDs, bed rest, antiembolism
stockings, anticoagulant therapy (heparin); emergency measures for
pulmonary embolismEducation
◍ Colchicine.
Answer: Medication that reduces inflammation and pain in patients with
gout.
◍ GI adaptions for postpartum.
Answer: -decrease bowel tones for several days-decreased peristalsis
occurs-constipation is common due to fear of straining affecting the
perineum -hunger and thirst occur due to NPO status prior to delivery
◍ nursing assessment for oligohydramnios.
Answer: fluid leaking from vagina
◍ what is given to a mother prior to birth if positive for Group B strep?.
Answer: penicillin G given at least 4 hours prior to birth
◍ bubble-le: BOWELS.
Answer: bowel sounds, distention
CHILDREN'S HEALTH OA
CERTIFICATION SCRIPT 2026 QUESTIONS
WITH SOLUTIONS GRADED A+
◍ nursing assessment for women over age 35.
Answer: preconception counseling: lifestyle changes, beginning pregnancy
in optimal state of healthlab and diagnostic: amniocentesis, quadruple blood
test screen
◍ what is engorgement?.
Answer: swelling of the breast tissue due to increase in blood and lymph
supply as a precursor to lactation
◍ methods of induction.
Answer: -cervical ripening-herbal agents-castor oil, hot baths, enemas
(BAD)-sex w breast stimulation-mechanical/surgical
methods-pharmacologic agents-oxytocin
◍ variable decelerations.
Answer: cord compressionD/C oxytocinamnioinfusionposition
changebreathing techniquesoxygen (non-rebreather)
◍ therapeutic management of chronic hypertension.
Answer: -lifestyle changes-preconception counseling-antihypertensive
agents-fetal movement monitoring-serial ultrasound
◍ nursing management after c-section.
Answer: preop care and post-op care
◍ nursing management of dystocia.
Answer: -Promoting labor progress-Providing physical and emotional
, comfort-Promoting empowerment
◍ abnormal nursing labs of iron-deficiency anemia during pregnancy.
Answer: -low hemoglobin-low hematocrit-low serum iron
◍ PPROM if no labor in 48 hours.
Answer: pelvic rest and D/C home
◍ assessment for magnesium toxicity.
Answer: - assess deep tendon reflexes (DTR) - check for ankle clonus -
monitor serum magnesium closely
◍ PUD Diet Recommendations.
Answer: Avoid irritants (e.g., spicy food, caffeine).
◍ interventions for engorgement if not breast feeding.
Answer: tight supportive bra, ice, avoidance of breast stimulation
◍ HESI Practice Tests.
Answer: Resource that simulates exam scenarios for nursing students.
◍ toxoplasmosis risk to fetus.
Answer: blueberry muffin rashretinitishydrocephalusintracranial
calcifications
◍ Management of Ischemic Stroke.
Answer: Thrombolytic therapy (e.g., tPA).
◍ cultural considerations for postpartum.
Answer: be open and nonjudgmental and willing to learn about ethnically
diverse populations relating to beliefs, practices and customs post-partum
◍ Evaluate therapeutic responses in Asthma.
Answer: ABG interpretation and symptom improvement.
◍ Terbutaline use.
Answer: tocolytic drug - stops contractions
◍ eating pattern of newborns.
Answer: must eat 8-12 x / day
, ◍ Eczema Treatment.
Answer: Therapeutic Response: Reduced dryness and itching, improved skin
integrity.
◍ nursing management of hyperemesis.
Answer: -Comfort and nutrition (NPO, IV fluids, hygiene, oral care,
I&O)-Support and education: reassurance; home care follow-up
◍ if the pts. bladder is off to the side, what would you recommend?.
Answer: use the bathroom
◍ placenta previa.
Answer: complete or partial covering of placenta over cervical os (due to
placental implantation in abnormal location)
◍ Nursing management of thromboembolic conditions.
Answer: -Prevention-Adequate circulation: NSAIDs, bed rest, antiembolism
stockings, anticoagulant therapy (heparin); emergency measures for
pulmonary embolismEducation
◍ Colchicine.
Answer: Medication that reduces inflammation and pain in patients with
gout.
◍ GI adaptions for postpartum.
Answer: -decrease bowel tones for several days-decreased peristalsis
occurs-constipation is common due to fear of straining affecting the
perineum -hunger and thirst occur due to NPO status prior to delivery
◍ nursing assessment for oligohydramnios.
Answer: fluid leaking from vagina
◍ what is given to a mother prior to birth if positive for Group B strep?.
Answer: penicillin G given at least 4 hours prior to birth
◍ bubble-le: BOWELS.
Answer: bowel sounds, distention
