WGU D447 WOMEN'S AND
CHILDREN'S HEALTH OA ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ What nursing action should be taken if giving multiple doses of Labetalol?.
Answer: Wait at least 10 minutes after the first dose to observe effects.
◍ What are some contraindications for an Epidural Block?.
Answer: Coagulation defects, uncorrected hypovolemia, infection in the area
of insertion, severe systemic infection, related allergy, or a fetal condition
that demands birth sooner than the block can become effective.
◍ What percentage of spontaneous abortions occur between 8 and 13 weeks?.
Answer: About 75% of spontaneous abortions occur between 8 and 13
weeks.
◍ What may be necessary to maintain reversal after Naloxone administration?.
Answer: Additional doses of naloxone may be necessary.
◍ What are the signs and symptoms of preeclampsia?.
Answer: Signs and symptoms include proteinuria, raised BP, edema,
seizures (eclampsia), visual disturbances, RUQ epigastric pain, severe
headaches, rapid weight gain, pulmonary edema, and hyperreflexia.
◍ What can cause false low levels of Alpha-fetoprotein (AFP)?.
Answer: Fetal death, increased maternal weight, or overestimated fetal
gestational age.
◍ What is the route of administration for Dinoprostone Cervical Gel?.
Answer: Vaginal insert (remains in place for up to 12 hours)
,◍ What is ABO typing used for?.
Answer: ABO typing is performed to determine the woman's blood type.
◍ How long does the NON-STRESS TEST (NST) take?.
Answer: It takes about 10-15 minutes.
◍ What are the effects of analgesia on a laboring woman's cardiac output?.
Answer: Cardiac output increases and can lead to higher plasma
concentrations of drugs given.
◍ What should be done if the IV route is unavailable for Naloxone
Hydrochloride administration?.
Answer: IM or subcutaneous administration may be used.
◍ Why is it important for a laboring client to void regularly?.
Answer: A full bladder keeps the uterus from contracting properly.
◍ What are some fetal/newborn complications of Abruptio Placentae?.
Answer: Fetal growth restriction, oligohydramnios, hypoxemia, low birth
weight, prematurity/preterm birth, stillbirth.
◍ What should the latch during breastfeeding encompass?.
Answer: The latch should be completely around the areola.
◍ What are the indications for using Morphine Sulfate?.
Answer: Moderate to severe labor pain and postoperative pain after cesarean
birth.
◍ What are some dietary sources of Vitamin C?.
Answer: Strawberries, oranges/orange juice, tomatoes, broccoli, cabbage,
cauliflower, spinach, potatoes, cantaloupe
◍ What are some common symptoms of HELLP Syndrome?.
Answer: RUQ or epigastric pain, chest or shoulder pain, generalized
malaise, blurry vision, nausea, vomiting, and edema.
◍ What is the first step in the glucose challenge test (GCT) for GDM?.
Answer: A 1-hour oral glucose tolerance test (OGTT) with a 50 g oral
glucose load.
,◍ What are some dietary sources of Calcium?.
Answer: Dark green leafy vegetables, broccoli, legumes, nuts, and dried
fruits
◍ What should you do first when managing a patient with preeclampsia or
eclampsia?.
Answer: Remain with the patient and call for help.
◍ What safety measures should be implemented when administering
Butorphanol and Nalbuphine?.
Answer: Use of side rails and assistance with ambulation.
◍ What is the site of administration for the Hepatitis B vaccine?.
Answer: vastus lateralis
◍ What does the presence of phosphatidylglycerol (PG) indicate after 35
weeks?.
Answer: A level greater than 3% is considered normal.
◍ Is chorionic villus sampling (CVS) a safe procedure?.
Answer: It is relatively safe but invasive.
◍ What should the fundus be like immediately after birth?.
Answer: The fundus should be midline and firm.
◍ What is the frequency and intensity of contractions during Stage 2 of labor?.
Answer: Every 2-3 minutes, strong intensity, lasting 60-75 seconds.
◍ What are the components of the BPP assessed via ultrasound?.
Answer: Fetal breathing movements (FBMs), fetal body movements, fetal
tone, and amniotic fluid volume (AFV).
◍ What does HepA stand for?.
Answer: Hepatitis A
◍ What is the purpose of administering oxytocic medication during Stage 3 of
labor?.
Answer: To ensure adequate contraction of the uterus and prevent
, hemorrhage.
◍ What is the risk associated with Placenta Previa?.
Answer: Increased risk of antenatal hemorrhage.
◍ What should be monitored frequently after chorionic villus sampling
(CVS)?.
Answer: Baseline vital signs (V/S) and fetal heart rate (FHR).
◍ When does Gestational Diabetes typically affect mothers?.
Answer: Gestational Diabetes typically affects mothers around the end of
their 2nd trimester or beginning of 3rd trimester.
◍ What are the abnormal fasting blood glucose levels in the 3-hour OGTT?.
Answer: >95 mg/dL.
◍ When should temperature be assessed after birth?.
Answer: At the beginning of the recovery period, then every 4 hours for the
first 8 hours, and at least every 8 hours thereafter.
◍ What are the names of two pain medications used in labor?.
Answer: Butorphanol Tartrate (Stadol) and Nalbuphine Hydrochloride
(Nubain)
◍ What is Abruptio Placentae?.
Answer: Detachment of the placenta from the uterus before birth of the baby
after the 20th week of gestation.
◍ What characterizes an incomplete miscarriage?.
Answer: An incomplete miscarriage involves heavy bleeding with loss of
some products of conception while some parts are retained.
◍ When is RhoGAM needed in Placenta Previa?.
Answer: If the patient is Rh-negative and there is bleeding.
◍ What emotional signs should be assessed for postpartum depression?.
Answer: Signs include decreased bonding, decreased sleep, and prolonged
periods of crying.
CHILDREN'S HEALTH OA ACTUAL
EXAM PAPER 2026 QUESTIONS WITH
ANSWERS GRADED A+
◍ What nursing action should be taken if giving multiple doses of Labetalol?.
Answer: Wait at least 10 minutes after the first dose to observe effects.
◍ What are some contraindications for an Epidural Block?.
Answer: Coagulation defects, uncorrected hypovolemia, infection in the area
of insertion, severe systemic infection, related allergy, or a fetal condition
that demands birth sooner than the block can become effective.
◍ What percentage of spontaneous abortions occur between 8 and 13 weeks?.
Answer: About 75% of spontaneous abortions occur between 8 and 13
weeks.
◍ What may be necessary to maintain reversal after Naloxone administration?.
Answer: Additional doses of naloxone may be necessary.
◍ What are the signs and symptoms of preeclampsia?.
Answer: Signs and symptoms include proteinuria, raised BP, edema,
seizures (eclampsia), visual disturbances, RUQ epigastric pain, severe
headaches, rapid weight gain, pulmonary edema, and hyperreflexia.
◍ What can cause false low levels of Alpha-fetoprotein (AFP)?.
Answer: Fetal death, increased maternal weight, or overestimated fetal
gestational age.
◍ What is the route of administration for Dinoprostone Cervical Gel?.
Answer: Vaginal insert (remains in place for up to 12 hours)
,◍ What is ABO typing used for?.
Answer: ABO typing is performed to determine the woman's blood type.
◍ How long does the NON-STRESS TEST (NST) take?.
Answer: It takes about 10-15 minutes.
◍ What are the effects of analgesia on a laboring woman's cardiac output?.
Answer: Cardiac output increases and can lead to higher plasma
concentrations of drugs given.
◍ What should be done if the IV route is unavailable for Naloxone
Hydrochloride administration?.
Answer: IM or subcutaneous administration may be used.
◍ Why is it important for a laboring client to void regularly?.
Answer: A full bladder keeps the uterus from contracting properly.
◍ What are some fetal/newborn complications of Abruptio Placentae?.
Answer: Fetal growth restriction, oligohydramnios, hypoxemia, low birth
weight, prematurity/preterm birth, stillbirth.
◍ What should the latch during breastfeeding encompass?.
Answer: The latch should be completely around the areola.
◍ What are the indications for using Morphine Sulfate?.
Answer: Moderate to severe labor pain and postoperative pain after cesarean
birth.
◍ What are some dietary sources of Vitamin C?.
Answer: Strawberries, oranges/orange juice, tomatoes, broccoli, cabbage,
cauliflower, spinach, potatoes, cantaloupe
◍ What are some common symptoms of HELLP Syndrome?.
Answer: RUQ or epigastric pain, chest or shoulder pain, generalized
malaise, blurry vision, nausea, vomiting, and edema.
◍ What is the first step in the glucose challenge test (GCT) for GDM?.
Answer: A 1-hour oral glucose tolerance test (OGTT) with a 50 g oral
glucose load.
,◍ What are some dietary sources of Calcium?.
Answer: Dark green leafy vegetables, broccoli, legumes, nuts, and dried
fruits
◍ What should you do first when managing a patient with preeclampsia or
eclampsia?.
Answer: Remain with the patient and call for help.
◍ What safety measures should be implemented when administering
Butorphanol and Nalbuphine?.
Answer: Use of side rails and assistance with ambulation.
◍ What is the site of administration for the Hepatitis B vaccine?.
Answer: vastus lateralis
◍ What does the presence of phosphatidylglycerol (PG) indicate after 35
weeks?.
Answer: A level greater than 3% is considered normal.
◍ Is chorionic villus sampling (CVS) a safe procedure?.
Answer: It is relatively safe but invasive.
◍ What should the fundus be like immediately after birth?.
Answer: The fundus should be midline and firm.
◍ What is the frequency and intensity of contractions during Stage 2 of labor?.
Answer: Every 2-3 minutes, strong intensity, lasting 60-75 seconds.
◍ What are the components of the BPP assessed via ultrasound?.
Answer: Fetal breathing movements (FBMs), fetal body movements, fetal
tone, and amniotic fluid volume (AFV).
◍ What does HepA stand for?.
Answer: Hepatitis A
◍ What is the purpose of administering oxytocic medication during Stage 3 of
labor?.
Answer: To ensure adequate contraction of the uterus and prevent
, hemorrhage.
◍ What is the risk associated with Placenta Previa?.
Answer: Increased risk of antenatal hemorrhage.
◍ What should be monitored frequently after chorionic villus sampling
(CVS)?.
Answer: Baseline vital signs (V/S) and fetal heart rate (FHR).
◍ When does Gestational Diabetes typically affect mothers?.
Answer: Gestational Diabetes typically affects mothers around the end of
their 2nd trimester or beginning of 3rd trimester.
◍ What are the abnormal fasting blood glucose levels in the 3-hour OGTT?.
Answer: >95 mg/dL.
◍ When should temperature be assessed after birth?.
Answer: At the beginning of the recovery period, then every 4 hours for the
first 8 hours, and at least every 8 hours thereafter.
◍ What are the names of two pain medications used in labor?.
Answer: Butorphanol Tartrate (Stadol) and Nalbuphine Hydrochloride
(Nubain)
◍ What is Abruptio Placentae?.
Answer: Detachment of the placenta from the uterus before birth of the baby
after the 20th week of gestation.
◍ What characterizes an incomplete miscarriage?.
Answer: An incomplete miscarriage involves heavy bleeding with loss of
some products of conception while some parts are retained.
◍ When is RhoGAM needed in Placenta Previa?.
Answer: If the patient is Rh-negative and there is bleeding.
◍ What emotional signs should be assessed for postpartum depression?.
Answer: Signs include decreased bonding, decreased sleep, and prolonged
periods of crying.
