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WGU D447 OA Women’s and Children’s Health (Latest Update 2026 / 2027) Questions with Correct Answers {Grade A}100% Verified

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WGU D447 OA Women’s and Children’s Health (Latest Update 2026 / 2027) Questions with Correct Answers {Grade A}100% Verified

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WGU D447 OA Women’s and Children’s
Health (Latest Update )
Questions with Correct Answers {Grade
A}100% Verified

Exam Overview & Description:
This exam helps nursing students demonstrate competency in caring for women across the
lifespan, including pregnancy, childbirth, postpartum recovery, and pediatric patient care. It
emphasizes safe clinical judgment in maternal and child health, focusing on recognizing
complications in pregnancy, supporting normal and high-risk labor and delivery, and providing
age-appropriate pediatric nursing interventions. Students are expected to apply evidence-based
practice, family-centered care principles, and developmental assessment skills across maternal-
newborn and pediatric populations.

Focus Areas:

• Antepartum Care — prenatal assessments, risk identification, and routine pregnancy
monitoring.
• Intrapartum Care — labor stages, fetal monitoring, and management of labor
complications.
• Postpartum Care — maternal recovery, hemorrhage prevention, and newborn bonding
support.
• Newborn Care — immediate newborn assessment, APGAR scoring, and neonatal
safety.
• Pediatric Growth & Development — developmental milestones and age-appropriate
assessments.
• Common Pediatric Conditions — asthma, infections, dehydration, and chronic illness
management.
• Maternal Complications — preeclampsia, gestational diabetes, and obstetric
emergencies.
• Family-Centered Nursing Care — involving families in decision-making and
education.

,Epidural - correct answer given only after 4cm dilated. Takes 20-30min to take full


effect. Make sure pain levels are going down, not up. Can cause maternal hypotension,


fetal bradycardia, low platelet count for mom




Epidural nursing considerations - correct answer priority-check bp, administer IV


fluids and position mom on her side to prevent hypotension. Monitor FHR, and


maternal vital signs continuously




Mastitis - correct answer an inflammatory condition of the breast that is possibly


accompanied by infection and usually associated with lactation




Mastitis risk factors - correct answer incomplete breast emptying, clogged duct,


cracked nipples, irregular feedings, poor attachment, maternal stress/fatigue, poor

hygiene




Mastitis s/s - correct answer lump that doesn't get smaller after nursing, pus draining


from nipple, fever, chills, achy, fatigue, red, swollen, warm and tender, can cause

abscess.

, Mastitis education - correct answer wash hands, apply heat before feeding, apply cold


compress after feeding, allow nipples to air dry, pump if breastfeeding is too painful,


feed more than 8 times, finish antibiotics even if symptoms improve, they different


feeding positions




Endometritis - correct answer an infection of the uterine lining or endometrium




Endometritis risk factors - correct answer c-section, retained placental fragments,


prolonged rupture of membranes, episiotomies, laceration, prolonged labor




Endometritis s/s - correct answer chronic pain in the pelvis, dyspareunia,


dysmenorrhea, chills, achy, fatigue, uterine tenderness, foully smelling lochia rubra,

fever




Endometritis nursing considerations - correct answer clindamycin, antibiotics for


bacterial infection, teach client to take ALL of medicine

Document information

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June 14, 2026
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