WGU D447 — Maternal/Newborn & Women's
Health Study Guide with Prac ce Ques ons
2026
1. A client planning pregnancy asks which supplement is most important before
conception and during early pregnancy. Which response is correct?
A. Vitamin C
B. Folic acid
C. Vitamin K
D. Calcium only
Answer: B. Folic acid
Rationale: Folic acid supplementation before conception and during early pregnancy helps
reduce the risk of fetal neural tube defects.
2. Which finding is considered a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Visualization of the fetus on ultrasound
Answer: C. Amenorrhea
Rationale: Presumptive signs are subjective findings reported by the client, such as amenorrhea,
nausea, fatigue, and breast changes.
3. Which finding is a positive sign of pregnancy?
A. Quickening reported by the client
B. Chadwick sign
C. Fetal heart tones detected by Doppler
D. Morning sickness
,Answer: C. Fetal heart tones detected by Doppler
Rationale: Positive signs directly confirm the presence of a fetus.
4. A pregnant client asks when fetal movement is commonly first felt. The nurse
should respond:
A. 4–6 weeks
B. 8–10 weeks
C. 16–20 weeks
D. 28–30 weeks
Answer: C. 16–20 weeks
Rationale: Quickening is commonly perceived during the second trimester, often around 16–20
weeks.
5. Which instruction is appropriate for nausea during early pregnancy?
A. Eat three large meals daily
B. Eat small, frequent meals
C. Avoid carbohydrates
D. Drink large amounts of fluid with meals
Answer: B. Eat small, frequent meals
Rationale: Small, frequent meals may help reduce nausea and prevent an empty stomach.
6. A client at 32 weeks' gestation reports sudden facial swelling and a severe
headache. What is the priority action?
A. Encourage oral fluids
B. Reassure the client
C. Evaluate for hypertensive complications
D. Encourage ambulation
Answer: C. Evaluate for hypertensive complications
Rationale: Severe headache and sudden edema may indicate preeclampsia and require prompt
evaluation.
,7. Which laboratory finding supports the diagnosis of iron-deficiency anemia
during pregnancy?
A. Increased hemoglobin
B. Decreased hemoglobin
C. Increased platelets only
D. Increased glucose
Answer: B. Decreased hemoglobin
Rationale: Iron-deficiency anemia is associated with decreased hemoglobin and reduced
oxygen-carrying capacity.
8. A pregnant client asks why iron supplementation is prescribed. Which
response is best?
A. "It prevents hypertension."
B. "It supports maternal and fetal blood production."
C. "It prevents gestational diabetes."
D. "It eliminates nausea."
Answer: B. It supports maternal and fetal blood production.
Rationale: Iron is essential for hemoglobin production and helps meet increased maternal and
fetal demands.
9. Which finding during pregnancy should be reported immediately?
A. Mild fatigue
B. Urinary frequency
C. Vaginal bleeding
D. Increased appetite
Answer: C. Vaginal bleeding
Rationale: Vaginal bleeding may indicate a serious pregnancy complication and requires
prompt evaluation.
, 10. A client is Rh-negative and pregnant. Why may Rho(D) immune globulin be
administered?
A. To prevent gestational diabetes
B. To prevent Rh sensitization
C. To stimulate contractions
D. To prevent postpartum hemorrhage
Answer: B. To prevent Rh sensitization
Rationale: Rho(D) immune globulin helps prevent maternal antibody formation against Rh-
positive fetal blood cells.
11. Which symptom is commonly associated with early pregnancy?
A. Nausea
B. Severe hypertension
C. Persistent vaginal bleeding
D. Seizures
Answer: A. Nausea
Rationale: Nausea is a common physiologic symptom during early pregnancy.
12. A client reports irregular, painless contractions that improve with rest. These
are most consistent with:
A. Preterm labor
B. Braxton Hicks contractions
C. Placental abruption
D. Uterine rupture
Answer: B. Braxton Hicks contractions
Rationale: Braxton Hicks contractions are generally irregular and do not produce progressive
cervical change.
13. Which finding is most concerning for preeclampsia?
Health Study Guide with Prac ce Ques ons
2026
1. A client planning pregnancy asks which supplement is most important before
conception and during early pregnancy. Which response is correct?
A. Vitamin C
B. Folic acid
C. Vitamin K
D. Calcium only
Answer: B. Folic acid
Rationale: Folic acid supplementation before conception and during early pregnancy helps
reduce the risk of fetal neural tube defects.
2. Which finding is considered a presumptive sign of pregnancy?
A. Positive pregnancy test
B. Fetal heart tones
C. Amenorrhea
D. Visualization of the fetus on ultrasound
Answer: C. Amenorrhea
Rationale: Presumptive signs are subjective findings reported by the client, such as amenorrhea,
nausea, fatigue, and breast changes.
3. Which finding is a positive sign of pregnancy?
A. Quickening reported by the client
B. Chadwick sign
C. Fetal heart tones detected by Doppler
D. Morning sickness
,Answer: C. Fetal heart tones detected by Doppler
Rationale: Positive signs directly confirm the presence of a fetus.
4. A pregnant client asks when fetal movement is commonly first felt. The nurse
should respond:
A. 4–6 weeks
B. 8–10 weeks
C. 16–20 weeks
D. 28–30 weeks
Answer: C. 16–20 weeks
Rationale: Quickening is commonly perceived during the second trimester, often around 16–20
weeks.
5. Which instruction is appropriate for nausea during early pregnancy?
A. Eat three large meals daily
B. Eat small, frequent meals
C. Avoid carbohydrates
D. Drink large amounts of fluid with meals
Answer: B. Eat small, frequent meals
Rationale: Small, frequent meals may help reduce nausea and prevent an empty stomach.
6. A client at 32 weeks' gestation reports sudden facial swelling and a severe
headache. What is the priority action?
A. Encourage oral fluids
B. Reassure the client
C. Evaluate for hypertensive complications
D. Encourage ambulation
Answer: C. Evaluate for hypertensive complications
Rationale: Severe headache and sudden edema may indicate preeclampsia and require prompt
evaluation.
,7. Which laboratory finding supports the diagnosis of iron-deficiency anemia
during pregnancy?
A. Increased hemoglobin
B. Decreased hemoglobin
C. Increased platelets only
D. Increased glucose
Answer: B. Decreased hemoglobin
Rationale: Iron-deficiency anemia is associated with decreased hemoglobin and reduced
oxygen-carrying capacity.
8. A pregnant client asks why iron supplementation is prescribed. Which
response is best?
A. "It prevents hypertension."
B. "It supports maternal and fetal blood production."
C. "It prevents gestational diabetes."
D. "It eliminates nausea."
Answer: B. It supports maternal and fetal blood production.
Rationale: Iron is essential for hemoglobin production and helps meet increased maternal and
fetal demands.
9. Which finding during pregnancy should be reported immediately?
A. Mild fatigue
B. Urinary frequency
C. Vaginal bleeding
D. Increased appetite
Answer: C. Vaginal bleeding
Rationale: Vaginal bleeding may indicate a serious pregnancy complication and requires
prompt evaluation.
, 10. A client is Rh-negative and pregnant. Why may Rho(D) immune globulin be
administered?
A. To prevent gestational diabetes
B. To prevent Rh sensitization
C. To stimulate contractions
D. To prevent postpartum hemorrhage
Answer: B. To prevent Rh sensitization
Rationale: Rho(D) immune globulin helps prevent maternal antibody formation against Rh-
positive fetal blood cells.
11. Which symptom is commonly associated with early pregnancy?
A. Nausea
B. Severe hypertension
C. Persistent vaginal bleeding
D. Seizures
Answer: A. Nausea
Rationale: Nausea is a common physiologic symptom during early pregnancy.
12. A client reports irregular, painless contractions that improve with rest. These
are most consistent with:
A. Preterm labor
B. Braxton Hicks contractions
C. Placental abruption
D. Uterine rupture
Answer: B. Braxton Hicks contractions
Rationale: Braxton Hicks contractions are generally irregular and do not produce progressive
cervical change.
13. Which finding is most concerning for preeclampsia?
