WGU D447 WOMEN'S AND
CHILDREN'S HEALTH OA
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
◍ 5. If a woman is complaining of bilateral, milky nipple discharge, the
clinician is to first a. perform a pregnancy test. b. perform a mammogram
and an ultrasound of the breasts. c. assess the sella turcica with magnetic
resonance imaging (MRI). d. obtain a serum prolactin level and a
thyroid-stimulating hormone (TSH) measurement..
Answer: A
◍ 2. The possibility of cancer is associated with mastalgia when the pain a.
occurs in perimenopausal women who are receiving HT. b. is accompanied
by skin changes or palpable abnormality. c. is felt in both breasts equally
and is related to a cyclic pattern. d. is reproducible with palpation of the
chest wall..
Answer: B
◍ 2. What type(s) of estrogen are usually present in a woman's body in the
postmenopausal years? a. Estrone (E1) and estradiol (E2) b. Estrone (E1)
and estriol (E3) c. Estradiol (E2) only d. None-women do not produce
estrogen after menopause..
Answer: A
◍ 5. All of the following medications may cause sexual arousal problems
except a. SSRIs and MAOIs. b. tricyclic antidepressants. c. sildenafil,
alprostadil, and tibolone. d. antihistamines and antihypertensives..
Answer: C
,◍ 6. A risk factor that could lead to endometrial cancer is a. early menopause.
b. late menopause. c. high blood pressure. d. cervical cancer..
Answer: B
◍ 8. Which cancer has the highest mortality rate of all gynecological cancers?
a. Vulvar cancer b. Endometrial cancer c. Cervical cancer d. Ovarian cancer.
Answer: D
◍ 7. Vulvovaginal candidiasis accounts for what percentage of all vaginal
infections? a. 10-15% b. 20-25% c. 50-55% d. 60-65%.
Answer: B
◍ 6. Management of sexual arousal disorders in women may include any one
of the following except a. treatments that decrease blood flow to the genital
tissues. b. the use of vaginal lubricants to increase stimulation. c. use of the
Eros-CTD, a clitoral therapy device. d. localized estrogen therapy..
Answer: A
◍ 12. Which one of the following statements about IPV during pregnancy is
false? a. It affects women more than the most serious antepartum
complications. b. Complications are more the result of trauma than
psychological abuse. c. IPV is associated with low-birth-weight infants. d.
Pregnancy can be a time of escalating violence..
Answer: B
◍ A client at 28 weeks gestation is in preterm labor and it is not expected that
the fetus will survive after delivery. What should be the nurse's initial
action?A. Contact spiritual support services.B. Provide information about an
autopsy.C. Discuss neonatal resuscitation options.D. Get in touch with the
organ donation organization..
Answer: A. Contact spiritual support services.
◍ 10. No risk factors other than age are identifiable in ______ of women with
breast cancer. a. 100% b. 85% c. 60% d. 24%.
Answer: B
◍ 2. Why are women with PCOS at a threefold increased risk of developing
, endometrial cancer? a. The reduction in estrogen causes excess progesterone
to build up. b. Menstrual bleeding is irregular and unpredictable. c. Insulin
resistance stimulates the production of androgens. d. Estrogen regularly
stimulates the endometrium..
Answer: D
◍ 9. A woman's lifetime risk of being diagnosed with breast cancer is a. 1 in 3.
b. 1 in 8. c. 1 in 29. d. 1 in 233..
Answer: B
◍ The nurse is preparing to administer medications for an eight-month-old
infant with heart failure. The infant has a blood pressure of 114/66 mm Hg,
apical pulse of 88 beats/minute, and respirations of 30 breaths/minute.Which
medication should the nurse withhold until the healthcare provider is
notified?A. Digoxin.B. Furosemide.C. Hydralazine.D. Enalapril..
Answer: A. Digoxin.Rationale: For an eight-month-old infant with heart
failure, the nurse should withhold digoxin if the infant's apical pulse is less
than 90 beats/minute and notify the healthcare provider
◍ A 9-week-old infant is scheduled for a cleft lip repair. Which information is
most important for the nurse to convey to the surgeon before transporting
the infant to the surgical suite?A. White blood cell count of 10,000/mm (10x
10/L).B. Weight gain of 2 pounds (0.91 kg) since birth.C. Red blood cell
count of 2.3 cell/mcl or (2.3 x 10/L).D. Urine specific gravity is 1.011..
Answer: C. Red blood cell count of 2.3 cell/mcl or (2.3 x 10/L).Rationale:
this low RBC count indicates anemia and is critical information for the
surgeon because it can increase the risk of complications during and after
surgery due to potential issues with oxygenation and healing
◍ 11. The P in the mnemonic EMPOWER is meant to help the clinician
remember to a. document findings properly. b. encourage planning for
safety and support. c. provide information about domestic violence. d. refer
to program services such as IPV hotlines and shelters..
Answer: C
◍ A mother brings her 2-month-old to the well-baby clinic. She states that
, when she kisses her baby, the infant's skin tastes salty.The nurse should
prepare the mother for what standard diagnostic test to screen for cystic
fibrosis (CF)?A. Sweat-chloride test.B. Faecal-fat test.C.
Pulmonary-function test.D. Potassium chloride test..
Answer: A. Sweat-chloride test.
◍ A nurse is caring for a preterm new newborn immediately after delivery
which of the following actions should the nurse take first?A. Dry the infant
under the radiant warmer.B. Take the infants temperature.C. Weigh the
infant.D. Obtain the infants blood glucose.
Answer: A. Dry the infant under the radiant warmer.
◍ 5. Approximately what percentage of women with bacterial vaginosis are
asymptomatic? a. 25% b. 40% c. 75% d. 50%.
Answer: D
◍ The nurse is preparing to care for a child with a diagnosis of
intussusception. The nurse reviews the child's record and expects to note
which sign of this disorder documented? A. Ribbon like stools.B. Profuse
projectile vomiting.C. Bright red blood and mucus in the stools.D. Watery
diarrhea..
Answer: C. Bright red blood and mucus in the stools.One of the classic signs
of intussusception is the presence of currant jelly stools, which are
characterized by a mixture of bright red blood and mucus in the stools . This
occurs due to the compression of the blood vessel and the intestine leading
to bleeding and mucosal discharge.
◍ 9. The prevalence of chlamydia is how many times higher in black women
than in white women? a. Two times b. Three times c. Five times d. Four
times.
Answer: C
◍ The nurse is caring for a child with sickle cell disease who is experiencing a
sickle cell crisis. Which finding should the nurse report to the healthcare
provider immediately?A. Swelling in the hands or feet.B. Ulcers on the
legs.C. Chest pain.D. Jaundice..
CHILDREN'S HEALTH OA
COMPREHENSIVE STUDY GUIDE 2026 FULL
QUESTIONS AND SOLUTIONS GRADED A+
◍ 5. If a woman is complaining of bilateral, milky nipple discharge, the
clinician is to first a. perform a pregnancy test. b. perform a mammogram
and an ultrasound of the breasts. c. assess the sella turcica with magnetic
resonance imaging (MRI). d. obtain a serum prolactin level and a
thyroid-stimulating hormone (TSH) measurement..
Answer: A
◍ 2. The possibility of cancer is associated with mastalgia when the pain a.
occurs in perimenopausal women who are receiving HT. b. is accompanied
by skin changes or palpable abnormality. c. is felt in both breasts equally
and is related to a cyclic pattern. d. is reproducible with palpation of the
chest wall..
Answer: B
◍ 2. What type(s) of estrogen are usually present in a woman's body in the
postmenopausal years? a. Estrone (E1) and estradiol (E2) b. Estrone (E1)
and estriol (E3) c. Estradiol (E2) only d. None-women do not produce
estrogen after menopause..
Answer: A
◍ 5. All of the following medications may cause sexual arousal problems
except a. SSRIs and MAOIs. b. tricyclic antidepressants. c. sildenafil,
alprostadil, and tibolone. d. antihistamines and antihypertensives..
Answer: C
,◍ 6. A risk factor that could lead to endometrial cancer is a. early menopause.
b. late menopause. c. high blood pressure. d. cervical cancer..
Answer: B
◍ 8. Which cancer has the highest mortality rate of all gynecological cancers?
a. Vulvar cancer b. Endometrial cancer c. Cervical cancer d. Ovarian cancer.
Answer: D
◍ 7. Vulvovaginal candidiasis accounts for what percentage of all vaginal
infections? a. 10-15% b. 20-25% c. 50-55% d. 60-65%.
Answer: B
◍ 6. Management of sexual arousal disorders in women may include any one
of the following except a. treatments that decrease blood flow to the genital
tissues. b. the use of vaginal lubricants to increase stimulation. c. use of the
Eros-CTD, a clitoral therapy device. d. localized estrogen therapy..
Answer: A
◍ 12. Which one of the following statements about IPV during pregnancy is
false? a. It affects women more than the most serious antepartum
complications. b. Complications are more the result of trauma than
psychological abuse. c. IPV is associated with low-birth-weight infants. d.
Pregnancy can be a time of escalating violence..
Answer: B
◍ A client at 28 weeks gestation is in preterm labor and it is not expected that
the fetus will survive after delivery. What should be the nurse's initial
action?A. Contact spiritual support services.B. Provide information about an
autopsy.C. Discuss neonatal resuscitation options.D. Get in touch with the
organ donation organization..
Answer: A. Contact spiritual support services.
◍ 10. No risk factors other than age are identifiable in ______ of women with
breast cancer. a. 100% b. 85% c. 60% d. 24%.
Answer: B
◍ 2. Why are women with PCOS at a threefold increased risk of developing
, endometrial cancer? a. The reduction in estrogen causes excess progesterone
to build up. b. Menstrual bleeding is irregular and unpredictable. c. Insulin
resistance stimulates the production of androgens. d. Estrogen regularly
stimulates the endometrium..
Answer: D
◍ 9. A woman's lifetime risk of being diagnosed with breast cancer is a. 1 in 3.
b. 1 in 8. c. 1 in 29. d. 1 in 233..
Answer: B
◍ The nurse is preparing to administer medications for an eight-month-old
infant with heart failure. The infant has a blood pressure of 114/66 mm Hg,
apical pulse of 88 beats/minute, and respirations of 30 breaths/minute.Which
medication should the nurse withhold until the healthcare provider is
notified?A. Digoxin.B. Furosemide.C. Hydralazine.D. Enalapril..
Answer: A. Digoxin.Rationale: For an eight-month-old infant with heart
failure, the nurse should withhold digoxin if the infant's apical pulse is less
than 90 beats/minute and notify the healthcare provider
◍ A 9-week-old infant is scheduled for a cleft lip repair. Which information is
most important for the nurse to convey to the surgeon before transporting
the infant to the surgical suite?A. White blood cell count of 10,000/mm (10x
10/L).B. Weight gain of 2 pounds (0.91 kg) since birth.C. Red blood cell
count of 2.3 cell/mcl or (2.3 x 10/L).D. Urine specific gravity is 1.011..
Answer: C. Red blood cell count of 2.3 cell/mcl or (2.3 x 10/L).Rationale:
this low RBC count indicates anemia and is critical information for the
surgeon because it can increase the risk of complications during and after
surgery due to potential issues with oxygenation and healing
◍ 11. The P in the mnemonic EMPOWER is meant to help the clinician
remember to a. document findings properly. b. encourage planning for
safety and support. c. provide information about domestic violence. d. refer
to program services such as IPV hotlines and shelters..
Answer: C
◍ A mother brings her 2-month-old to the well-baby clinic. She states that
, when she kisses her baby, the infant's skin tastes salty.The nurse should
prepare the mother for what standard diagnostic test to screen for cystic
fibrosis (CF)?A. Sweat-chloride test.B. Faecal-fat test.C.
Pulmonary-function test.D. Potassium chloride test..
Answer: A. Sweat-chloride test.
◍ A nurse is caring for a preterm new newborn immediately after delivery
which of the following actions should the nurse take first?A. Dry the infant
under the radiant warmer.B. Take the infants temperature.C. Weigh the
infant.D. Obtain the infants blood glucose.
Answer: A. Dry the infant under the radiant warmer.
◍ 5. Approximately what percentage of women with bacterial vaginosis are
asymptomatic? a. 25% b. 40% c. 75% d. 50%.
Answer: D
◍ The nurse is preparing to care for a child with a diagnosis of
intussusception. The nurse reviews the child's record and expects to note
which sign of this disorder documented? A. Ribbon like stools.B. Profuse
projectile vomiting.C. Bright red blood and mucus in the stools.D. Watery
diarrhea..
Answer: C. Bright red blood and mucus in the stools.One of the classic signs
of intussusception is the presence of currant jelly stools, which are
characterized by a mixture of bright red blood and mucus in the stools . This
occurs due to the compression of the blood vessel and the intestine leading
to bleeding and mucosal discharge.
◍ 9. The prevalence of chlamydia is how many times higher in black women
than in white women? a. Two times b. Three times c. Five times d. Four
times.
Answer: C
◍ The nurse is caring for a child with sickle cell disease who is experiencing a
sickle cell crisis. Which finding should the nurse report to the healthcare
provider immediately?A. Swelling in the hands or feet.B. Ulcers on the
legs.C. Chest pain.D. Jaundice..
