WGU D447 – WOMEN’S & CHILDREN’S HEALTH | OBJECTIVE
ASSESSMENT | OA | 75 ACTUAL QUESTIONS AND ANSWERS
| 2026 UPDATE | WITH COMPLETE SOLUTION
WGU D447 – Women’s & Children’s Health
Full Objective Assessment Practice Exam
Total Questions: 75
Format: Multiple Choice
Correct answers provided with concise rationales
SECTION 1: Women’s Health & Reproductive Care
1. A woman reports irregular menstrual cycles and excessive hair growth on her face. Which
condition is most likely responsible?
A. Endometriosis
B. Polycystic ovary syndrome (PCOS)
C. Pelvic inflammatory disease
D. Uterine fibroids
✅ Correct Answer: B
Rationale: PCOS is characterized by hormonal imbalance, irregular menstruation, and
hyperandrogenism, which causes excess facial hair. Endometriosis causes pelvic pain, not hirsutism.
Fibroids cause heavy bleeding, not androgen effects.
2. Which contraceptive method provides protection against sexually transmitted infections (STIs)?
A. Oral contraceptives
B. Intrauterine device (IUD)
C. Male condom
D. Contraceptive implant
✅ Correct Answer: C
Rationale: Male condoms are the only listed method that provides barrier protection against STIs.
Hormonal and implantable methods prevent pregnancy only. STI prevention requires a physical
barrier.
,3. A priority teaching point for a woman starting combined oral contraceptives is to:
A. Take the pill at different times each day
B. Expect immediate protection
C. Avoid smoking
D. Stop taking if spotting occurs
✅ Correct Answer: C
Rationale: Smoking increases the risk of thromboembolism in women using combined oral
contraceptives. Pills should be taken at the same time daily. Spotting is common initially and does
not require discontinuation.
4. Which screening test is recommended to detect cervical cancer?
A. Mammogram
B. Pap smear
C. Pelvic ultrasound
D. Endometrial biopsy
✅ Correct Answer: B
Rationale: The Pap smear screens for cervical cancer by detecting abnormal cervical cells.
Mammograms screen for breast cancer. Ultrasound and biopsy are diagnostic, not screening tools.
5. Which finding is most concerning in a postmenopausal woman?
A. Hot flashes
B. Mood changes
C. Vaginal bleeding
D. Sleep disturbances
✅ Correct Answer: C
Rationale: Vaginal bleeding after menopause is abnormal and must be evaluated for malignancy. Hot
flashes and sleep changes are common menopausal symptoms.
SECTION 2: Pregnancy & Prenatal Care
6. Which sign is a presumptive sign of pregnancy?
A. Fetal heart tones
B. Positive pregnancy test
C. Amenorrhea
D. Ultrasound visualization
✅ Correct Answer: C
, Rationale: Amenorrhea is a presumptive sign based on patient symptoms. Positive pregnancy tests
are probable signs. Fetal heart tones and ultrasound findings are positive signs.
7. A pregnant patient with hypertension, proteinuria, and edema is most likely experiencing:
A. Gestational diabetes
B. Eclampsia
C. Preeclampsia
D. Hyperemesis gravidarum
✅ Correct Answer: C
Rationale: Preeclampsia is characterized by hypertension, proteinuria, and edema after 20 weeks
gestation. Eclampsia includes seizures. Gestational diabetes involves elevated blood glucose.
8. Which nutrient is most important for preventing neural tube defects?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin C
✅ Correct Answer: C
Rationale: Folic acid is essential for neural tube development early in pregnancy. Deficiency increases
the risk of spina bifida and anencephaly.
9. A priority nursing intervention for a pregnant woman with hyperemesis gravidarum is:
A. Encourage large meals
B. Monitor hydration status
C. Limit fluid intake
D. Encourage physical activity
✅ Correct Answer: B
Rationale: Severe vomiting can cause dehydration and electrolyte imbalance. Monitoring hydration
and weight is essential. Small frequent meals are recommended, not large meals.
10. Which test confirms gestational diabetes?
A. Fasting blood glucose
B. HbA1c
C. Oral glucose tolerance test
D. Urinalysis
✅ Correct Answer: C
ASSESSMENT | OA | 75 ACTUAL QUESTIONS AND ANSWERS
| 2026 UPDATE | WITH COMPLETE SOLUTION
WGU D447 – Women’s & Children’s Health
Full Objective Assessment Practice Exam
Total Questions: 75
Format: Multiple Choice
Correct answers provided with concise rationales
SECTION 1: Women’s Health & Reproductive Care
1. A woman reports irregular menstrual cycles and excessive hair growth on her face. Which
condition is most likely responsible?
A. Endometriosis
B. Polycystic ovary syndrome (PCOS)
C. Pelvic inflammatory disease
D. Uterine fibroids
✅ Correct Answer: B
Rationale: PCOS is characterized by hormonal imbalance, irregular menstruation, and
hyperandrogenism, which causes excess facial hair. Endometriosis causes pelvic pain, not hirsutism.
Fibroids cause heavy bleeding, not androgen effects.
2. Which contraceptive method provides protection against sexually transmitted infections (STIs)?
A. Oral contraceptives
B. Intrauterine device (IUD)
C. Male condom
D. Contraceptive implant
✅ Correct Answer: C
Rationale: Male condoms are the only listed method that provides barrier protection against STIs.
Hormonal and implantable methods prevent pregnancy only. STI prevention requires a physical
barrier.
,3. A priority teaching point for a woman starting combined oral contraceptives is to:
A. Take the pill at different times each day
B. Expect immediate protection
C. Avoid smoking
D. Stop taking if spotting occurs
✅ Correct Answer: C
Rationale: Smoking increases the risk of thromboembolism in women using combined oral
contraceptives. Pills should be taken at the same time daily. Spotting is common initially and does
not require discontinuation.
4. Which screening test is recommended to detect cervical cancer?
A. Mammogram
B. Pap smear
C. Pelvic ultrasound
D. Endometrial biopsy
✅ Correct Answer: B
Rationale: The Pap smear screens for cervical cancer by detecting abnormal cervical cells.
Mammograms screen for breast cancer. Ultrasound and biopsy are diagnostic, not screening tools.
5. Which finding is most concerning in a postmenopausal woman?
A. Hot flashes
B. Mood changes
C. Vaginal bleeding
D. Sleep disturbances
✅ Correct Answer: C
Rationale: Vaginal bleeding after menopause is abnormal and must be evaluated for malignancy. Hot
flashes and sleep changes are common menopausal symptoms.
SECTION 2: Pregnancy & Prenatal Care
6. Which sign is a presumptive sign of pregnancy?
A. Fetal heart tones
B. Positive pregnancy test
C. Amenorrhea
D. Ultrasound visualization
✅ Correct Answer: C
, Rationale: Amenorrhea is a presumptive sign based on patient symptoms. Positive pregnancy tests
are probable signs. Fetal heart tones and ultrasound findings are positive signs.
7. A pregnant patient with hypertension, proteinuria, and edema is most likely experiencing:
A. Gestational diabetes
B. Eclampsia
C. Preeclampsia
D. Hyperemesis gravidarum
✅ Correct Answer: C
Rationale: Preeclampsia is characterized by hypertension, proteinuria, and edema after 20 weeks
gestation. Eclampsia includes seizures. Gestational diabetes involves elevated blood glucose.
8. Which nutrient is most important for preventing neural tube defects?
A. Iron
B. Calcium
C. Folic acid
D. Vitamin C
✅ Correct Answer: C
Rationale: Folic acid is essential for neural tube development early in pregnancy. Deficiency increases
the risk of spina bifida and anencephaly.
9. A priority nursing intervention for a pregnant woman with hyperemesis gravidarum is:
A. Encourage large meals
B. Monitor hydration status
C. Limit fluid intake
D. Encourage physical activity
✅ Correct Answer: B
Rationale: Severe vomiting can cause dehydration and electrolyte imbalance. Monitoring hydration
and weight is essential. Small frequent meals are recommended, not large meals.
10. Which test confirms gestational diabetes?
A. Fasting blood glucose
B. HbA1c
C. Oral glucose tolerance test
D. Urinalysis
✅ Correct Answer: C
