Western Governors University's D447 OA
(Women’s & Children’s Health Nursing
Multiple Choice Questions & Answers (2026
Update) – Version 2
1. A nurse is teaching a postpartum client who is Rh-negative about Rho(D)
immunoglobulin. Which statement should the nurse include?
A. It destroys Rh antibodies in newborns who are Rh-positive.
B. It destroys Rh antibodies in mothers who are Rh-negative.
C. It prevents the formation of Rh antibodies in mothers who are Rh-negative.
D. It prevents the formation of Rh antibodies in newborns who are Rh-positive.
Answer: C. RhoGAM prevents the Rh-negative mother from developing antibodies
against Rh-positive fetal blood cells, which could harm future pregnancies .
2. A nurse is caring for a 3-day postpartum client who is breastfeeding. Which
finding indicates mastitis?
A. Swelling in both breasts
B. A white patch on a nipple
C. Red and painful area in one breast
D. Cracked and bleeding nipples
Answer: C. Mastitis is characterized by localized redness, pain, and swelling in a single
breast, often accompanied by flu-like symptoms .
3. Following a delivery, which nursing action should be performed first to care for
the newborn?
A. Stimulate the infant to cry.
B. Clear the respiratory tract.
C. Cut the umbilical cord.
D. Dry the infant off and cover the head.
Answer: B. The priority is to establish a patent airway (Airway, Breathing, Circulation -
ABCs) .
,4. A nurse is providing teaching about comfort measures for breast engorgement
to a breastfeeding postpartum client. Which statement indicates a need for further
teaching?
A. "I should apply hot packs to my breasts during feeding."
B. "I will apply ice packs to my breasts after feeding."
C. "I should crush cabbage leaves and place them on my breasts."
D. "I will breastfeed every 2 hours."
Answer: A. Heat before feeding can help with let-down, but applying hot
packs during feeding can worsen engorgement and swelling. Cold packs are
recommended after feeding .
5. A nurse is preparing to assess a postmature newborn. Which findings should the
nurse expect? (Select all that apply)
A. Positive Moro reflex
B. Vernix in the folds and creases
C. Hypertonicity of the extremities
D. Cracked, peeling skin
E. Abundant lanugo
Answer: A, D. A positive Moro reflex is an expected neurological finding. Cracked,
peeling skin is a classic sign of a postmature newborn due to the loss of the protective
vernix caseosa .
6. A nurse is caring for a macrosomic newborn whose mother has diabetes
mellitus. Which complication is the priority focus of care?
A. Hypocalcemia
B. Hypomagnesemia
C. Hyperbilirubinemia
D. Hypoglycemia
Answer: D. Infants of diabetic mothers are at high risk for hypoglycemia due to fetal
hyperinsulinism, which is a priority to monitor and manage .
7. A laboring client is admitted with a suspected placental abruption. Which
finding is most consistent with this diagnosis?
A. Painless vaginal bleeding
B. Firm, tender uterus
C. Fundal height appropriate for gestation
D. Normal fetal heart rate
Answer: B. Placental abruption is characterized by a firm, tender uterus and painful
vaginal bleeding. Painless bleeding is associated with placenta previa .
, 8. A client is in labor, and the fetal heart rate tracing shows recurrent late
decelerations. What should the nurse do?
A. Notify the provider
B. Administer oxygen
C. Increase IV fluids
D. All of the above
Answer: D. Late decelerations indicate uteroplacental insufficiency. Appropriate
interventions include repositioning the mother, administering oxygen, increasing IV
fluids, discontinuing oxytocin, and notifying the provider .
9. A client is in labor, and the fetal heart rate tracing shows variable decelerations.
What is the nurse's priority intervention?
A. Reposition the client
B. Administer oxygen
C. Start an IV infusion
D. Prepare for a cesarean section
Answer: A. Variable decelerations are caused by umbilical cord compression.
Repositioning the client is the first-line intervention to relieve the pressure .
10. A client is 6 cm dilated, 75% effaced, and having contractions every 3–5
minutes. In which phase of labor is this client?
A. Early (latent) phase
B. Active phase
C. Transition phase
D. Second stage
Answer: B. The active phase of labor is from 4 to 7 cm dilation. The latent phase is 0-3
cm, and the transition phase is 8-10 cm .
11. A client at 8 cm dilation reports nausea and irritability. The nurse recognizes
this as a sign of:
A. A sign of infection
B. Transition phase of labor
C. A reaction to pain medication
D. A sign of fetal distress
Answer: B. Nausea, vomiting, and irritability are characteristic of the transition phase (8-
10 cm) of labor .
12. The rationale for inserting a bladder catheter every hour for a client with
epidural anesthesia is:
A. The bladder fills more rapidly.
B. Her level of consciousness is altered.
(Women’s & Children’s Health Nursing
Multiple Choice Questions & Answers (2026
Update) – Version 2
1. A nurse is teaching a postpartum client who is Rh-negative about Rho(D)
immunoglobulin. Which statement should the nurse include?
A. It destroys Rh antibodies in newborns who are Rh-positive.
B. It destroys Rh antibodies in mothers who are Rh-negative.
C. It prevents the formation of Rh antibodies in mothers who are Rh-negative.
D. It prevents the formation of Rh antibodies in newborns who are Rh-positive.
Answer: C. RhoGAM prevents the Rh-negative mother from developing antibodies
against Rh-positive fetal blood cells, which could harm future pregnancies .
2. A nurse is caring for a 3-day postpartum client who is breastfeeding. Which
finding indicates mastitis?
A. Swelling in both breasts
B. A white patch on a nipple
C. Red and painful area in one breast
D. Cracked and bleeding nipples
Answer: C. Mastitis is characterized by localized redness, pain, and swelling in a single
breast, often accompanied by flu-like symptoms .
3. Following a delivery, which nursing action should be performed first to care for
the newborn?
A. Stimulate the infant to cry.
B. Clear the respiratory tract.
C. Cut the umbilical cord.
D. Dry the infant off and cover the head.
Answer: B. The priority is to establish a patent airway (Airway, Breathing, Circulation -
ABCs) .
,4. A nurse is providing teaching about comfort measures for breast engorgement
to a breastfeeding postpartum client. Which statement indicates a need for further
teaching?
A. "I should apply hot packs to my breasts during feeding."
B. "I will apply ice packs to my breasts after feeding."
C. "I should crush cabbage leaves and place them on my breasts."
D. "I will breastfeed every 2 hours."
Answer: A. Heat before feeding can help with let-down, but applying hot
packs during feeding can worsen engorgement and swelling. Cold packs are
recommended after feeding .
5. A nurse is preparing to assess a postmature newborn. Which findings should the
nurse expect? (Select all that apply)
A. Positive Moro reflex
B. Vernix in the folds and creases
C. Hypertonicity of the extremities
D. Cracked, peeling skin
E. Abundant lanugo
Answer: A, D. A positive Moro reflex is an expected neurological finding. Cracked,
peeling skin is a classic sign of a postmature newborn due to the loss of the protective
vernix caseosa .
6. A nurse is caring for a macrosomic newborn whose mother has diabetes
mellitus. Which complication is the priority focus of care?
A. Hypocalcemia
B. Hypomagnesemia
C. Hyperbilirubinemia
D. Hypoglycemia
Answer: D. Infants of diabetic mothers are at high risk for hypoglycemia due to fetal
hyperinsulinism, which is a priority to monitor and manage .
7. A laboring client is admitted with a suspected placental abruption. Which
finding is most consistent with this diagnosis?
A. Painless vaginal bleeding
B. Firm, tender uterus
C. Fundal height appropriate for gestation
D. Normal fetal heart rate
Answer: B. Placental abruption is characterized by a firm, tender uterus and painful
vaginal bleeding. Painless bleeding is associated with placenta previa .
, 8. A client is in labor, and the fetal heart rate tracing shows recurrent late
decelerations. What should the nurse do?
A. Notify the provider
B. Administer oxygen
C. Increase IV fluids
D. All of the above
Answer: D. Late decelerations indicate uteroplacental insufficiency. Appropriate
interventions include repositioning the mother, administering oxygen, increasing IV
fluids, discontinuing oxytocin, and notifying the provider .
9. A client is in labor, and the fetal heart rate tracing shows variable decelerations.
What is the nurse's priority intervention?
A. Reposition the client
B. Administer oxygen
C. Start an IV infusion
D. Prepare for a cesarean section
Answer: A. Variable decelerations are caused by umbilical cord compression.
Repositioning the client is the first-line intervention to relieve the pressure .
10. A client is 6 cm dilated, 75% effaced, and having contractions every 3–5
minutes. In which phase of labor is this client?
A. Early (latent) phase
B. Active phase
C. Transition phase
D. Second stage
Answer: B. The active phase of labor is from 4 to 7 cm dilation. The latent phase is 0-3
cm, and the transition phase is 8-10 cm .
11. A client at 8 cm dilation reports nausea and irritability. The nurse recognizes
this as a sign of:
A. A sign of infection
B. Transition phase of labor
C. A reaction to pain medication
D. A sign of fetal distress
Answer: B. Nausea, vomiting, and irritability are characteristic of the transition phase (8-
10 cm) of labor .
12. The rationale for inserting a bladder catheter every hour for a client with
epidural anesthesia is:
A. The bladder fills more rapidly.
B. Her level of consciousness is altered.
