WGU D447 Women and Children Latest
2026 Final Assessment Exam Graded
A+ Complete Questions Fully Solved
100% Original
Question 1: A nurse is reviewing blood glucose targets with a patient newly diagnosed with
gestational diabetes at 26 weeks. The patient asks what her fasting morning glucose should be to stay
within a safe range. Which value should the nurse identify as the upper limit for fasting glucose?
110 mg/dL
Below 95 mg/dL
Below 140 mg/dL
80 mg/dL exactly
Question 2: A nurse is caring for a patient with poorly controlled gestational diabetes who is now at
38 weeks gestation. The most recent ultrasound estimates fetal weight above 4000 grams. The nurse
anticipates that the care team will discuss delivery planning with the patient. Which fetal
complication is the nurse most concerned about during vaginal delivery?
Neonatal jaundice from liver immaturity
Fetal growth restriction from placental failure
Shoulder dystocia during delivery
Oligohydramnios from reduced fetal output
Question 3: A patient with gestational diabetes asks the nurse how many times per day she should
check her blood glucose and when those checks should occur. Which response by the nurse accurately
reflects the standard monitoring schedule?
Four times daily including a fasting check
, Once each morning before eating breakfast
Twice daily at random times throughout day
Four times weekly before each prenatal visit
Question 4: A nurse is educating a patient with newly diagnosed gestational diabetes about dietary
management as the first-line intervention. The patient asks which type of carbohydrates she should
prioritize in her meals. Which recommendation by the nurse is most appropriate?
Eliminate all carbohydrate sources completely
Choose fruit juices over whole fruits daily
Replace all grains with protein-only meals
Focus on complex carbohydrates and fiber
Question 5: A nurse is providing discharge education to a patient whose gestational diabetes was well
controlled with diet throughout pregnancy. The patient assumes her diabetes has resolved now that
she has delivered. Which teaching point should the nurse include about postpartum follow-up?
Gestational diabetes never recurs in future
Rescreening at 6 to 12 weeks postpartum
No further glucose monitoring is needed
Begin daily insulin injections immediately
Question 6: A nurse is assessing a patient at 32 weeks gestation who presents with a blood pressure
of 148/96 mmHg and reports a recent onset of swelling in her face and hands. The urinalysis shows
protein. Which finding from the patient's history most significantly increases her risk for this
condition?
She exercises three times per week
She has one previous full-term delivery
This is her first pregnancy at age 37
, Her pre-pregnancy BMI was 22
Question 7: A patient with severe preeclampsia has been receiving a magnesium sulfate infusion for
four hours. During assessment the nurse notes the patient reports flushing and nausea, and deep
tendon reflexes are now absent bilaterally. Which nursing action should be performed first?
Hold the infusion and notify the provider
Administer calcium gluconate antidote immediately
Increase the infusion rate per standing orders
Continue the infusion and recheck in one hour
Question 8: A nurse is caring for a preeclamptic patient on magnesium sulfate and is planning her
assessment schedule. The nurse knows that three specific parameters must be evaluated before each
dose or during continuous infusion. Which combination of assessments is most essential for detecting
early toxicity?
Fetal heart tones, maternal weight, and diet
Skin turgor, capillary refill, and temperature
Blood glucose, hemoglobin, and platelet count
Deep tendon reflexes, respirations, and urine output
Question 9: A nursing student asks why magnesium sulfate is preferred over other antihypertensive
medications for patients with severe preeclampsia, even though it has significant toxicity risks. Which
explanation by the preceptor best addresses the rationale?
It lowers blood pressure more effectively
Its primary purpose is seizure prevention
It eliminates the need for other medications
It reverses the underlying disease process
2026 Final Assessment Exam Graded
A+ Complete Questions Fully Solved
100% Original
Question 1: A nurse is reviewing blood glucose targets with a patient newly diagnosed with
gestational diabetes at 26 weeks. The patient asks what her fasting morning glucose should be to stay
within a safe range. Which value should the nurse identify as the upper limit for fasting glucose?
110 mg/dL
Below 95 mg/dL
Below 140 mg/dL
80 mg/dL exactly
Question 2: A nurse is caring for a patient with poorly controlled gestational diabetes who is now at
38 weeks gestation. The most recent ultrasound estimates fetal weight above 4000 grams. The nurse
anticipates that the care team will discuss delivery planning with the patient. Which fetal
complication is the nurse most concerned about during vaginal delivery?
Neonatal jaundice from liver immaturity
Fetal growth restriction from placental failure
Shoulder dystocia during delivery
Oligohydramnios from reduced fetal output
Question 3: A patient with gestational diabetes asks the nurse how many times per day she should
check her blood glucose and when those checks should occur. Which response by the nurse accurately
reflects the standard monitoring schedule?
Four times daily including a fasting check
, Once each morning before eating breakfast
Twice daily at random times throughout day
Four times weekly before each prenatal visit
Question 4: A nurse is educating a patient with newly diagnosed gestational diabetes about dietary
management as the first-line intervention. The patient asks which type of carbohydrates she should
prioritize in her meals. Which recommendation by the nurse is most appropriate?
Eliminate all carbohydrate sources completely
Choose fruit juices over whole fruits daily
Replace all grains with protein-only meals
Focus on complex carbohydrates and fiber
Question 5: A nurse is providing discharge education to a patient whose gestational diabetes was well
controlled with diet throughout pregnancy. The patient assumes her diabetes has resolved now that
she has delivered. Which teaching point should the nurse include about postpartum follow-up?
Gestational diabetes never recurs in future
Rescreening at 6 to 12 weeks postpartum
No further glucose monitoring is needed
Begin daily insulin injections immediately
Question 6: A nurse is assessing a patient at 32 weeks gestation who presents with a blood pressure
of 148/96 mmHg and reports a recent onset of swelling in her face and hands. The urinalysis shows
protein. Which finding from the patient's history most significantly increases her risk for this
condition?
She exercises three times per week
She has one previous full-term delivery
This is her first pregnancy at age 37
, Her pre-pregnancy BMI was 22
Question 7: A patient with severe preeclampsia has been receiving a magnesium sulfate infusion for
four hours. During assessment the nurse notes the patient reports flushing and nausea, and deep
tendon reflexes are now absent bilaterally. Which nursing action should be performed first?
Hold the infusion and notify the provider
Administer calcium gluconate antidote immediately
Increase the infusion rate per standing orders
Continue the infusion and recheck in one hour
Question 8: A nurse is caring for a preeclamptic patient on magnesium sulfate and is planning her
assessment schedule. The nurse knows that three specific parameters must be evaluated before each
dose or during continuous infusion. Which combination of assessments is most essential for detecting
early toxicity?
Fetal heart tones, maternal weight, and diet
Skin turgor, capillary refill, and temperature
Blood glucose, hemoglobin, and platelet count
Deep tendon reflexes, respirations, and urine output
Question 9: A nursing student asks why magnesium sulfate is preferred over other antihypertensive
medications for patients with severe preeclampsia, even though it has significant toxicity risks. Which
explanation by the preceptor best addresses the rationale?
It lowers blood pressure more effectively
Its primary purpose is seizure prevention
It eliminates the need for other medications
It reverses the underlying disease process
