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WGU D447 Women’s and Children’s Health (Latest Update 2026 / 2027) Questions with Correct Answers {Grade A}100% Verified

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WGU D447 Women’s and Children’s Health (Latest Update 2026 / 2027) Questions with Correct Answers {Grade A}100% Verified

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WGU D447 Women’s and Children’s
Health (Latest Update )
Questions with Correct Answers {Grade
A}100% Verified


What are the priority nursing actions after spontaneous rupture of membranes


(SROM)? (SATA) - correct answer Assess fetal heart rate (FHR),Check the color, odor,


and amount of amniotic fluid, Monitor for signs of infection (fever, tachycardia, foul-


smelling fluid),Assess for umbilical cord prolapse if FHR is abnormal.




What is the priority assessment for a patient who had a vaginal delivery? - correct


answer Fundal height and lochia




How does the fundus feel if there is a postpartum hemorrhage? (SATA) - correct


answer Boggy or soft(uterine atony),High above the umbilicus




Which of the following are abnormal findings on a fundal assessment post-delivery?


(SATA) - correct answer Fundus to the left of the umbilicus &Fundus boggy(Indicates


uterine atony), and above the umbilicus

,Which of the following are signs of postpartum hemorrhage? (SATA) - correct answer


Saturation of a pad within an hour,Sudden drop in blood pressure, Tachycardia




The APGAR score is a quick test used to assess the health of a newborn immediately


after birth. It evaluates five criteria, each scored from 0 to 2, with the total score


ranging from 0 to 10. The criteria are: Appearance (skin color), Pulse (heart rate),


Grimace (reflexes), Activity (muscle tone), and Respiration (breathing effort).


Which of the following are the five criteria of the APGAR score? (SATA - correct


answer Appearance → Evaluates skin color (blue, pink, or a mix).


Pulse → Measures heart rate (absent, below 100, or over 100 bpm).


Activity → Measures muscle tone (flaccid, some movement, or active movement).

Reflexes → Assesses grimace response (no response, some grimace, or


cough/sneeze).


FRespiration → Evaluates breathing effort (absent, slow/irregular, or good cry).




What APGAR score would be assigned to a newborn with the following findings?

Appearance: Body pink, extremities blue

,Pulse: 90 bpm


Grimace: Grimaces when stimulated


Activity: Some flexion of the arms and legs


Respiration: Slow, irregular - correct answer 7-Appearance: 1 point (body pink,


extremities blue).


Pulse: 1 point (below 100 bpm).


Grimace: 1 point (grimaces).


Activity: 1 point (some flexion).


Respiration: 1 point (slow/irregular).


Total: 7 points.




Which of the following actions should be taken when performing an initial physical


assessment of a newborn? (SATA) - correct answer Measure the newborn's head and

chest circumference. Assess reflexes such as the Moro reflex.Check for a patent anus.


Perform a full body assessment before any interventions




Which of the following is true regarding gestational hypertension and HELLP

syndrome? (Select all that apply.) - correct answer Gestational hypertension is

, diagnosed when blood pressure is elevated after 20 weeks of gestation without


proteinuria or signs of end-organ damage.


HELLP syndrome is a severe form of preeclampsia characterized by hemolysis,


elevated liver enzymes, and low platelet count.


HELLP syndrome increases the risk of complications such as liver rupture, stroke, and


disseminated intravascular coagulation (DIC).


Women with gestational hypertension are at increased risk for developing


preeclampsia.




What are the key nursing interventions for a patient diagnosed with chronic


hypertension in pregnancy?(Select all that apply.) - correct answer Monitor blood


pressure regularly.Educate the patient on lifestyle modifications (e.g., diet,


exercise).Administer labetalol or methyldopa as prescribed.




What are the clinical manifestations of eclampsia?


(Select all that apply.) - correct answer Seizures. Severe headache. Elevated blood


pressure. Visual disturbances. HELLP SYNDROME

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