WGU D447 Women anD ChilDren's health oa – Western Governors University – 2026/2027 aCaDemiC year – 60 QUestions anD ansWers CoverinG FoUr Core Domains || BranD neW .

WGU D447 Women anD ChilDren's health oa – Western Governors
University – 2026/2027 aCaDemiC year – 60 QUestions anD
ansWers CoverinG FoUr Core Domains || BranD neW .




Domain 1: Antepartum Care (Questions 1–10)



Question 1: A client at 38 weeks' gestation is admitted with blood pressure 160/100 mmHg, +3
proteinuria, and severe headache. Which intervention is the priority?

• A) Administer oxygen via face mask

• B) Prepare for immediate delivery

• C) Administer magnesium sulfate per protocol

• D) Perform a non-stress test

CorreCt ansWer: C

rationale: This client shows signs of severe preeclampsia. Administering magnesium sulfate
prevents seizures (eclampsia), which is the critical intervention. Delivery preparation and fetal
assessment follow stabilization. Oxygen may be needed but is not the priority.



Question 2: A nurse is teaching a client about a new prescription for iron supplements during
pregnancy. Which instruction should be included?

• A) Take the supplement with milk to reduce GI upset

• B) Increase intake of foods rich in vitamin C

• C) Report black, tarry stools to the provider immediately

• D) Take an extra pill if you miss a dose

CorreCt ansWer: B

rationale: Vitamin C enhances iron absorption. Iron supplements should be taken with
orange juice or vitamin C-rich foods. Iron should not be taken with milk or calcium (A) as this
reduces absorption. Black stools are a normal side effect, not a reason to notify the provider (C).

,Question 3: A client at 16 weeks' gestation has an elevated maternal serum alpha-fetoprotein
(MSAFP) test result. Which actions should the nurse anticipate? (Select all that apply)

• A) Schedule an ultrasound

• B) Prepare the client for possible amniocentesis

• C) Inform the client that neural tube defects are a possible concern

• D) Repeat the MSAFP test in 24 hours

CorreCt ansWer: A, B, C

rationale: An elevated MSAFP may indicate neural tube defects (C). An ultrasound is
scheduled to confirm gestational age and assess for anomalies (A). Amniocentesis may be
offered for further diagnostic testing (B). MSAFP is not repeated within 24 hours (D).



Question 4: A client is being seen for her first prenatal visit at 10 weeks' gestation. What should
the nurse expect to assess?

• A) Fetal heart tones via fetoscope

• B) Fetal movement felt by the mother

• C) Fundal height at the umbilicus

• D) Fetal heart tones via Doppler

CorreCt ansWer: D

rationale: At 10 weeks, fetal heart tones can be detected by Doppler ultrasound. Fetoscope
detection is possible at 18–20 weeks (A). Quickening (fetal movement felt by the mother) occurs
at 16–20 weeks (B). The fundus is at the symphysis pubis at 12 weeks, not the umbilicus (C).



Question 5: A client at 28 weeks' gestation is Rh-negative. Which intervention is indicated?

• A) Administer Rh immune globulin (RhoGAM) at 28 weeks

• B) Administer Rh immune globulin after delivery only

• C) Administer Rh immune globulin at 36 weeks

• D) No intervention is indicated

CorreCt ansWer: A

, rationale: Rh immune globulin (RhoGAM) is administered to Rh-negative women at 28 weeks
and again within 72 hours after delivery if the newborn is Rh-positive. This prevents Rh
isoimmunization. The 28-week dose is a standard antepartum prophylaxis.



Question 6: A client is 6 weeks pregnant. Which finding is most concerning?

• A) Nausea and vomiting

• B) Breast tenderness

• C) Vaginal bleeding

• D) Fatigue

CorreCt ansWer: C

rationale: Vaginal bleeding in early pregnancy may indicate miscarriage, ectopic pregnancy,
or other complications and requires immediate evaluation. Nausea, breast tenderness, and
fatigue are common normal symptoms of early pregnancy.



Question 7: A client at 32 weeks' gestation reports frequent urination. Which statement is most
accurate?

• A) This is normal due to the enlarging uterus

• B) This indicates a urinary tract infection

• C) This is a sign of gestational diabetes

• D) This is a sign of preterm labor

CorreCt ansWer: A

rationale: Frequent urination is a common symptom of pregnancy, especially in the first and
third trimesters, due to the pressure of the enlarging uterus on the bladder. While UTI (B) is
possible, it is not the most likely explanation.



Question 8: A client at 12 weeks' gestation asks about the recommended weight gain for a
normal BMI pregnancy. What should the nurse tell her?

• A) 11-20 pounds

• B) 15-25 pounds

• C) 25-35 pounds