D447 Objective Assessment – WGU
Women’s & Children’s Health OA (2026)
Complete Study Guide with Questions &
Expert Rationales
[EXAM OVERVIEW]
| Parameter | Details |
||-|
| Exam Code | WGU D447 – Women's & Children's
Health Objective Assessment |
| Institution | Western Governors University |
| Exam Format | 2 Full Exams (160+ OA Questions)
+ 100+ Practice Questions |
| Coverage | Women's Health, Maternal-Newborn,
Pediatric Nursing, Family-Centered Care |
1
,| Recommended Resource | D447 Concept Map,
Clinical Prioritization Review, OA Study Guide |
SECTION 1: WOMEN'S HEALTH &
MATERNAL-NEWBORN CARE
Question 1
A mother brings her male preschooler to the clinic
because he has had diarrhea, vomiting, and high
fevers for the past three days. The child begins to cry
and cling to his mother when the nurse enters the
examination room. Which action should the nurse
implement to get the child to cooperate?
A) Tell the child he is being silly and needs to be
brave
B) Immediately begin the physical assessment while
the mother holds him
2
,C) Ask the mother to leave the room so the child
learns independence
D) Talk to the mother and gradually focus on the
child's toy
Answer: D) Talk to the mother and gradually focus
on the child's toy
Rationale: Talking to the mother first while
gradually engaging the child through his toy reduces
anxiety by not forcing immediate interaction. The
nurse should use therapeutic communication
techniques appropriate for this developmental stage.
Preschoolers are in Erikson's stage of Initiative vs.
Guilt and need to feel a sense of control in
unfamiliar situations. Engaging through a familiar
object (toy) helps build trust before proceeding with
the physical assessment.
3
, Question 2
A client is 2 weeks postpartum and reports fever,
chills, fatigue, and a red, tender area on her right
breast. She reports that her infant has been feeding
every 4 hours and sometimes sleeps through the
night. What is the most likely diagnosis?
A) Breast engorgement
B) Mastitis
C) Thrush
D) Plugged milk duct
Answer: B) Mastitis
Rationale: Mastitis is an inflammatory condition of
the breast, usually caused by milk stasis and
bacterial infection, typically Staphylococcus aureus
entering through cracked nipples or skin breaks. The
plugged duct is the precipitating factor; the bacterial
infection is the subsequent complication. It presents
4
Women’s & Children’s Health OA (2026)
Complete Study Guide with Questions &
Expert Rationales
[EXAM OVERVIEW]
| Parameter | Details |
||-|
| Exam Code | WGU D447 – Women's & Children's
Health Objective Assessment |
| Institution | Western Governors University |
| Exam Format | 2 Full Exams (160+ OA Questions)
+ 100+ Practice Questions |
| Coverage | Women's Health, Maternal-Newborn,
Pediatric Nursing, Family-Centered Care |
1
,| Recommended Resource | D447 Concept Map,
Clinical Prioritization Review, OA Study Guide |
SECTION 1: WOMEN'S HEALTH &
MATERNAL-NEWBORN CARE
Question 1
A mother brings her male preschooler to the clinic
because he has had diarrhea, vomiting, and high
fevers for the past three days. The child begins to cry
and cling to his mother when the nurse enters the
examination room. Which action should the nurse
implement to get the child to cooperate?
A) Tell the child he is being silly and needs to be
brave
B) Immediately begin the physical assessment while
the mother holds him
2
,C) Ask the mother to leave the room so the child
learns independence
D) Talk to the mother and gradually focus on the
child's toy
Answer: D) Talk to the mother and gradually focus
on the child's toy
Rationale: Talking to the mother first while
gradually engaging the child through his toy reduces
anxiety by not forcing immediate interaction. The
nurse should use therapeutic communication
techniques appropriate for this developmental stage.
Preschoolers are in Erikson's stage of Initiative vs.
Guilt and need to feel a sense of control in
unfamiliar situations. Engaging through a familiar
object (toy) helps build trust before proceeding with
the physical assessment.
3
, Question 2
A client is 2 weeks postpartum and reports fever,
chills, fatigue, and a red, tender area on her right
breast. She reports that her infant has been feeding
every 4 hours and sometimes sleeps through the
night. What is the most likely diagnosis?
A) Breast engorgement
B) Mastitis
C) Thrush
D) Plugged milk duct
Answer: B) Mastitis
Rationale: Mastitis is an inflammatory condition of
the breast, usually caused by milk stasis and
bacterial infection, typically Staphylococcus aureus
entering through cracked nipples or skin breaks. The
plugged duct is the precipitating factor; the bacterial
infection is the subsequent complication. It presents
4
