WGU D447 Women’s & Children’s Nursing Pre
Assessment -Solved
1. A pregnant client at 32 weeks reports a sudden gush of clear fluid from the
vagina. Which action should the nurse take first?
A. Assess fetal heart rate
B. Obtain a urine specimen
C. Encourage ambulation
D. Perform a vaginal examination
2. Which finding is most concerning in a client with preeclampsia?
A. Mild ankle edema
B. Blood pressure of 168/112 mm Hg
C. Urinary frequency
D. Increased appetite
3. A nurse is caring for a client receiving magnesium sulfate for severe
preeclampsia. Which finding requires immediate intervention?
A. Respiratory rate of 10/min
B. Urine output of 45 mL/hr
C. Patellar reflexes 2+
D. Blood pressure of 140/90 mm Hg
4. Which medication should the nurse have available when administering
magnesium sulfate?
A. Naloxone
B. Calcium gluconate
C. Vitamin K
D. Protamine sulfate
5. A client at 34 weeks' gestation has painless, bright-red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Ectopic pregnancy
D. Uterine rupture
6. Which assessment finding is most characteristic of abruptio placentae?
A. Painless bright-red bleeding
B. Rigid, tender abdomen
C. Absence of uterine contractions
D. Fetal movement without maternal pain
7. A postpartum client has a boggy uterus and heavy vaginal bleeding. What should
the nurse do first?
,A. Notify the provider
B. Massage the fundus
C. Insert an indwelling catheter
D. Administer oxygen
8. Which finding indicates that a postpartum client's uterus is involuting normally?
A. Fundus becomes progressively lower each day
B. Fundus remains at the umbilicus for one week
C. Lochia becomes increasingly heavy
D. Uterine tenderness progressively increases
9. A postpartum client reports unilateral calf pain and swelling. Which action is most
appropriate?
A. Massage the affected calf
B. Encourage vigorous ambulation
C. Notify the healthcare provider
D. Apply compression directly over the painful area
10. Which newborn finding requires immediate nursing intervention?
A. Acrocyanosis shortly after birth
B. Respiratory rate of 68/min with grunting
C. Heart rate of 140/min
D. Flexed extremities
11. Which intervention is most effective for preventing heat loss in a newborn
immediately after birth?
A. Bathe the newborn immediately
B. Place the newborn under a fan
C. Dry the newborn thoroughly
D. Delay skin-to-skin contact
12. A newborn receives erythromycin ophthalmic ointment. What is the primary
purpose of this medication?
A. Prevent neonatal hypoglycemia
B. Prevent ophthalmia neonatorum
C. Treat respiratory distress
D. Prevent jaundice
13. Which newborn finding is expected during the first several hours after birth?
A. Persistent central cyanosis
B. Acrocyanosis
C. Severe respiratory distress
D. Apnea lasting several minutes
14. A nurse is assessing a newborn for hypoglycemia. Which finding should the
nurse recognize as a possible manifestation?
A. Jitteriness
B. Increased muscle strength
, C. Bradycardia with hypertension
D. Excessive weight gain
15. Which developmental milestone is expected for most infants around 6 months
of age?
A. Walking independently
B. Sitting with support
C. Speaking in complete sentences
D. Riding a tricycle
16. Which developmental behavior is expected in a toddler?
A. Parallel play
B. Cooperative team sports
C. Abstract reasoning
D. Complete independence with all activities
17. A nurse is assessing a 2-year-old child. Which behavior is most expected?
A. Strong desire for autonomy
B. Understanding complex abstract concepts
C. Consistent sharing with peers
D. Mature impulse control
18. Which intervention is appropriate when administering an oral medication to a
young child?
A. Mix every medication into a full bottle of formula
B. Use an oral syringe for accurate measurement
C. Tell the child the medication is candy
D. Force the child's mouth open without explanation
19. A child with suspected epiglottitis is experiencing drooling and respiratory
distress. Which action should the nurse avoid?
A. Keeping the child calm
B. Preparing for emergency airway management
C. Inspecting the throat with a tongue blade
D. Providing oxygen as tolerated
20. Which finding is most concerning in a child with dehydration?
A. Moist mucous membranes
B. Capillary refill of 1 second
C. No tears when crying and decreased urine output
D. Normal skin turgor
21. A client in active labor has recurrent late decelerations on the fetal monitor.
Which intervention should the nurse implement first?
A. Increase the oxytocin infusion
B. Reposition the client to the side
C. Encourage pushing
D. Prepare the client for discharge
Assessment -Solved
1. A pregnant client at 32 weeks reports a sudden gush of clear fluid from the
vagina. Which action should the nurse take first?
A. Assess fetal heart rate
B. Obtain a urine specimen
C. Encourage ambulation
D. Perform a vaginal examination
2. Which finding is most concerning in a client with preeclampsia?
A. Mild ankle edema
B. Blood pressure of 168/112 mm Hg
C. Urinary frequency
D. Increased appetite
3. A nurse is caring for a client receiving magnesium sulfate for severe
preeclampsia. Which finding requires immediate intervention?
A. Respiratory rate of 10/min
B. Urine output of 45 mL/hr
C. Patellar reflexes 2+
D. Blood pressure of 140/90 mm Hg
4. Which medication should the nurse have available when administering
magnesium sulfate?
A. Naloxone
B. Calcium gluconate
C. Vitamin K
D. Protamine sulfate
5. A client at 34 weeks' gestation has painless, bright-red vaginal bleeding. Which
condition should the nurse suspect?
A. Abruptio placentae
B. Placenta previa
C. Ectopic pregnancy
D. Uterine rupture
6. Which assessment finding is most characteristic of abruptio placentae?
A. Painless bright-red bleeding
B. Rigid, tender abdomen
C. Absence of uterine contractions
D. Fetal movement without maternal pain
7. A postpartum client has a boggy uterus and heavy vaginal bleeding. What should
the nurse do first?
,A. Notify the provider
B. Massage the fundus
C. Insert an indwelling catheter
D. Administer oxygen
8. Which finding indicates that a postpartum client's uterus is involuting normally?
A. Fundus becomes progressively lower each day
B. Fundus remains at the umbilicus for one week
C. Lochia becomes increasingly heavy
D. Uterine tenderness progressively increases
9. A postpartum client reports unilateral calf pain and swelling. Which action is most
appropriate?
A. Massage the affected calf
B. Encourage vigorous ambulation
C. Notify the healthcare provider
D. Apply compression directly over the painful area
10. Which newborn finding requires immediate nursing intervention?
A. Acrocyanosis shortly after birth
B. Respiratory rate of 68/min with grunting
C. Heart rate of 140/min
D. Flexed extremities
11. Which intervention is most effective for preventing heat loss in a newborn
immediately after birth?
A. Bathe the newborn immediately
B. Place the newborn under a fan
C. Dry the newborn thoroughly
D. Delay skin-to-skin contact
12. A newborn receives erythromycin ophthalmic ointment. What is the primary
purpose of this medication?
A. Prevent neonatal hypoglycemia
B. Prevent ophthalmia neonatorum
C. Treat respiratory distress
D. Prevent jaundice
13. Which newborn finding is expected during the first several hours after birth?
A. Persistent central cyanosis
B. Acrocyanosis
C. Severe respiratory distress
D. Apnea lasting several minutes
14. A nurse is assessing a newborn for hypoglycemia. Which finding should the
nurse recognize as a possible manifestation?
A. Jitteriness
B. Increased muscle strength
, C. Bradycardia with hypertension
D. Excessive weight gain
15. Which developmental milestone is expected for most infants around 6 months
of age?
A. Walking independently
B. Sitting with support
C. Speaking in complete sentences
D. Riding a tricycle
16. Which developmental behavior is expected in a toddler?
A. Parallel play
B. Cooperative team sports
C. Abstract reasoning
D. Complete independence with all activities
17. A nurse is assessing a 2-year-old child. Which behavior is most expected?
A. Strong desire for autonomy
B. Understanding complex abstract concepts
C. Consistent sharing with peers
D. Mature impulse control
18. Which intervention is appropriate when administering an oral medication to a
young child?
A. Mix every medication into a full bottle of formula
B. Use an oral syringe for accurate measurement
C. Tell the child the medication is candy
D. Force the child's mouth open without explanation
19. A child with suspected epiglottitis is experiencing drooling and respiratory
distress. Which action should the nurse avoid?
A. Keeping the child calm
B. Preparing for emergency airway management
C. Inspecting the throat with a tongue blade
D. Providing oxygen as tolerated
20. Which finding is most concerning in a child with dehydration?
A. Moist mucous membranes
B. Capillary refill of 1 second
C. No tears when crying and decreased urine output
D. Normal skin turgor
21. A client in active labor has recurrent late decelerations on the fetal monitor.
Which intervention should the nurse implement first?
A. Increase the oxytocin infusion
B. Reposition the client to the side
C. Encourage pushing
D. Prepare the client for discharge
