WGU D447
WGU D447 Women’s and Children’s | OA | HESI NCLEX
style | Questions and Answers | Latest 2025/2026 Update |
100% Correct.
Testbankscove
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,Newborn Care
1. Which of the following interventions are appropriate for an
infant with hypospadias?
A) Delay circumcision. Monitor urinary output. Prepare for surgical correction
around 6–12 months. Administer prophylactic antibiotics if needed.
B) Immediate circumcision to prevent infection.
C) No treatment needed; condition resolves spontaneously.
D) Surgical correction in the first week of life.
,Correct Answer: A
Rationale:
Delay circumcision – The foreskin may be needed for surgical repair
(urethroplasty).
Monitor urinary output – To ensure no obstruction.
Surgical correction is typically done between 6–12 months for optimal
outcomes.
Prophylactic antibiotics may be given to prevent urinary tract infections before
surgery.
2. What is the purpose of Vitamin K administration to a
newborn?
A) Prevent bleeding
B) Prevent infection
C) Fight infection
D) Stimulate appetite
Correct Answer: A
Rationale: Newborns are born with sterile guts and lack vitamin K, which is
necessary for synthesizing clotting factors II, VII, IX, and X. Vitamin K prophylaxis
prevents hemorrhagic disease of the newborn.
3. Which statement is true regarding cephalohematoma?
A) It increases the risk of jaundice and is firm, does NOT cross sutures.
B) It is soft and crosses suture lines.
C) It resolves quickly and crosses sutures.
D) It is a bone fracture.
, Correct Answer: A
Rationale: Cephalohematoma is a collection of blood between the periosteum and
skull bone. It does not cross suture lines, is firm, and may increase bilirubin levels
as the blood breaks down, leading to jaundice.
Preeclampsia & HELLP Syndrome
4. Which are signs of preeclampsia? (SATA)
A) Proteinuria, Facial swelling, Blurred vision
B) Retractions, Nasal flaring, Grunting
C) Barking cough, Inspiratory stridor, Hoarseness
D) Blood pressure, Fetal heart rate, Respiratory rate
Correct Answer: A
Rationale: Preeclampsia is defined by hypertension + proteinuria or end-organ
dysfunction. Facial swelling (edema), blurred vision (CNS involvement), and
proteinuria are hallmark signs.
5. A client receiving magnesium sulfate for preeclampsia
develops absent deep tendon reflexes and respiratory rate of
10/min. What is the priority action?
A) Turn the client on her side
B) Monitor FHR and prepare for an emergency C-section
C) Perform an amniocentesis
D) Stop the magnesium infusion
Correct Answer: D
Rationale: Absent DTRs and respiratory depression (<12 breaths/min) are signs of
magnesium toxicity. The priority is to stop the infusion and then administer
calcium gluconate as the antidote.
WGU D447 Women’s and Children’s | OA | HESI NCLEX
style | Questions and Answers | Latest 2025/2026 Update |
100% Correct.
Testbankscove
➢
➢
➢
➢
➢
,Newborn Care
1. Which of the following interventions are appropriate for an
infant with hypospadias?
A) Delay circumcision. Monitor urinary output. Prepare for surgical correction
around 6–12 months. Administer prophylactic antibiotics if needed.
B) Immediate circumcision to prevent infection.
C) No treatment needed; condition resolves spontaneously.
D) Surgical correction in the first week of life.
,Correct Answer: A
Rationale:
Delay circumcision – The foreskin may be needed for surgical repair
(urethroplasty).
Monitor urinary output – To ensure no obstruction.
Surgical correction is typically done between 6–12 months for optimal
outcomes.
Prophylactic antibiotics may be given to prevent urinary tract infections before
surgery.
2. What is the purpose of Vitamin K administration to a
newborn?
A) Prevent bleeding
B) Prevent infection
C) Fight infection
D) Stimulate appetite
Correct Answer: A
Rationale: Newborns are born with sterile guts and lack vitamin K, which is
necessary for synthesizing clotting factors II, VII, IX, and X. Vitamin K prophylaxis
prevents hemorrhagic disease of the newborn.
3. Which statement is true regarding cephalohematoma?
A) It increases the risk of jaundice and is firm, does NOT cross sutures.
B) It is soft and crosses suture lines.
C) It resolves quickly and crosses sutures.
D) It is a bone fracture.
, Correct Answer: A
Rationale: Cephalohematoma is a collection of blood between the periosteum and
skull bone. It does not cross suture lines, is firm, and may increase bilirubin levels
as the blood breaks down, leading to jaundice.
Preeclampsia & HELLP Syndrome
4. Which are signs of preeclampsia? (SATA)
A) Proteinuria, Facial swelling, Blurred vision
B) Retractions, Nasal flaring, Grunting
C) Barking cough, Inspiratory stridor, Hoarseness
D) Blood pressure, Fetal heart rate, Respiratory rate
Correct Answer: A
Rationale: Preeclampsia is defined by hypertension + proteinuria or end-organ
dysfunction. Facial swelling (edema), blurred vision (CNS involvement), and
proteinuria are hallmark signs.
5. A client receiving magnesium sulfate for preeclampsia
develops absent deep tendon reflexes and respiratory rate of
10/min. What is the priority action?
A) Turn the client on her side
B) Monitor FHR and prepare for an emergency C-section
C) Perform an amniocentesis
D) Stop the magnesium infusion
Correct Answer: D
Rationale: Absent DTRs and respiratory depression (<12 breaths/min) are signs of
magnesium toxicity. The priority is to stop the infusion and then administer
calcium gluconate as the antidote.
