WGU D447 WOMEN AND CHILDREN NURSING EXAM
2026/2027 SUMMER QUESTIONS AND CORRECT
ANSWERS GRADED A+
A 6-year-old with joint pain, stiffness, and swelling has been diagnosed with
juvenile idiopathic arthritis (JIA).Which of the following interventions are
appropriate for managing JIA? (Select all that apply)
Administer NSAIDs for pain relief.Encourage range-of-motion
exercises,Administer corticosteroids during flare-ups. Provide education on the
importance of regular check-ups.
A 4-year-old child is admitted with high fever, drooling, and difficulty swallowing.
The child is sitting forward and appears to be struggling to breathe.Which of the
following are consistent with epiglottitis? (Select all that apply)
Drooling and difficulty swallowing,Stridor,Fever
A 3-year-old is admitted to the hospital with respiratory distress. The child is
observed to be breathing rapidly with noticeable nasal flaring, intercostal
retractions, and grunting.Which of the following are signs of respiratory distress in
children? (Select all that apply)
Nasal flaring,Tachypnea,Grunting,Retractions
,A 7-year-old presents with a fever, migratory arthritis, and a distinctive skin rash
(erythema marginatum). The mother reports that the child had a recent sore
throat.Which of the following are likely symptoms of rheumatic fever? (Select all
that apply)
Migratory arthritis,Erythema marginatum,Fever
A 2-month-old infant is seen for a routine check-up. The child is due for several
immunizations.Which vaccines are recommended for this infant at the 2-month
well-child visit? (Select all that apply)
Hepatitis B,DTaP (Diphtheria, Tetanus, Pertussis),Polio (IPV) Rotavirus
A newborn is being assessed for potential congenital heart disease. The mother
reports the baby has been having difficulty feeding and appears to be cyanotic
during crying episodes. The baby is also very tired after feeding.
Which of the following signs are suggestive of a congenital heart defect? (Select
all that apply)
,Cyanosis during crying. Fatigue after feeding. Systolic murmur heard on
auscultation. Tachypnea at rest
A 4-year-old is diagnosed with nephrotic syndrome and is being treated in the
hospital. The child presents with periorbital edema, proteinuria, and
hypoalbuminemia(low albuminemia).Which of the following are appropriate
interventions for a child with nephrotic syndrome? (Select all that apply)
Administer corticosteroids to reduce inflammation and proteinuria.Monitor urine
output for signs of fluid retention.Measure the child’s weight daily to assess for
fluid retention.
A 9-year-old diagnosed with juvenile idiopathic arthritis is being discharged from
the hospital. The parents are concerned about their child’s limited mobility and
joint pain.
Encourage regular physical activity to maintain joint flexibility.Administer
methotrexate as prescribed to reduce inflammation.Use warm compresses to
alleviate joint stiffness.Teach the child about the importance of weight
management
A newborn is born via vaginal delivery. The pediatrician orders erythromycin eye
ointment for the infant immediately after birth.
, To prevent bacterial eye infections, such as gonorrheal or chlamydial
conjunctivitis.To prevent neonatal conjunctivitis from chlamydia or gonorrhea.
A premature neonate is admitted to the NICU with a temperature of 97°F (36.1°C)
and poor feeding. The nurse assesses the baby’s cold stress symptoms.Which of
the following interventions are appropriate for this neonate? (Select all that apply)
Place the neonate in an incubator. Ensure the baby is dressed in layers of clothing.
Monitor the neonate’s temperature frequently.Administer warm IV fluids to help
raise body temperature.
A 3-year-old with hemophilia is admitted after falling and hitting his knee. The
child has extensive bruising and pain in the joint.
Which of the following should the nurse prioritize in the care of this child with
hemophilia? (Select all that apply)
Administer clotting factor therapy. Apply pressure to any bleeding areas. Avoid
using aspirin or NSAIDs for pain relief. Monitor for any signs of spontaneous
bleeding
A 5-year-old is admitted with periorbital edema, proteinuria, and
hypoalbuminemia. The child has a history of frequent infections and a recent upper
respiratory tract infection.
2026/2027 SUMMER QUESTIONS AND CORRECT
ANSWERS GRADED A+
A 6-year-old with joint pain, stiffness, and swelling has been diagnosed with
juvenile idiopathic arthritis (JIA).Which of the following interventions are
appropriate for managing JIA? (Select all that apply)
Administer NSAIDs for pain relief.Encourage range-of-motion
exercises,Administer corticosteroids during flare-ups. Provide education on the
importance of regular check-ups.
A 4-year-old child is admitted with high fever, drooling, and difficulty swallowing.
The child is sitting forward and appears to be struggling to breathe.Which of the
following are consistent with epiglottitis? (Select all that apply)
Drooling and difficulty swallowing,Stridor,Fever
A 3-year-old is admitted to the hospital with respiratory distress. The child is
observed to be breathing rapidly with noticeable nasal flaring, intercostal
retractions, and grunting.Which of the following are signs of respiratory distress in
children? (Select all that apply)
Nasal flaring,Tachypnea,Grunting,Retractions
,A 7-year-old presents with a fever, migratory arthritis, and a distinctive skin rash
(erythema marginatum). The mother reports that the child had a recent sore
throat.Which of the following are likely symptoms of rheumatic fever? (Select all
that apply)
Migratory arthritis,Erythema marginatum,Fever
A 2-month-old infant is seen for a routine check-up. The child is due for several
immunizations.Which vaccines are recommended for this infant at the 2-month
well-child visit? (Select all that apply)
Hepatitis B,DTaP (Diphtheria, Tetanus, Pertussis),Polio (IPV) Rotavirus
A newborn is being assessed for potential congenital heart disease. The mother
reports the baby has been having difficulty feeding and appears to be cyanotic
during crying episodes. The baby is also very tired after feeding.
Which of the following signs are suggestive of a congenital heart defect? (Select
all that apply)
,Cyanosis during crying. Fatigue after feeding. Systolic murmur heard on
auscultation. Tachypnea at rest
A 4-year-old is diagnosed with nephrotic syndrome and is being treated in the
hospital. The child presents with periorbital edema, proteinuria, and
hypoalbuminemia(low albuminemia).Which of the following are appropriate
interventions for a child with nephrotic syndrome? (Select all that apply)
Administer corticosteroids to reduce inflammation and proteinuria.Monitor urine
output for signs of fluid retention.Measure the child’s weight daily to assess for
fluid retention.
A 9-year-old diagnosed with juvenile idiopathic arthritis is being discharged from
the hospital. The parents are concerned about their child’s limited mobility and
joint pain.
Encourage regular physical activity to maintain joint flexibility.Administer
methotrexate as prescribed to reduce inflammation.Use warm compresses to
alleviate joint stiffness.Teach the child about the importance of weight
management
A newborn is born via vaginal delivery. The pediatrician orders erythromycin eye
ointment for the infant immediately after birth.
, To prevent bacterial eye infections, such as gonorrheal or chlamydial
conjunctivitis.To prevent neonatal conjunctivitis from chlamydia or gonorrhea.
A premature neonate is admitted to the NICU with a temperature of 97°F (36.1°C)
and poor feeding. The nurse assesses the baby’s cold stress symptoms.Which of
the following interventions are appropriate for this neonate? (Select all that apply)
Place the neonate in an incubator. Ensure the baby is dressed in layers of clothing.
Monitor the neonate’s temperature frequently.Administer warm IV fluids to help
raise body temperature.
A 3-year-old with hemophilia is admitted after falling and hitting his knee. The
child has extensive bruising and pain in the joint.
Which of the following should the nurse prioritize in the care of this child with
hemophilia? (Select all that apply)
Administer clotting factor therapy. Apply pressure to any bleeding areas. Avoid
using aspirin or NSAIDs for pain relief. Monitor for any signs of spontaneous
bleeding
A 5-year-old is admitted with periorbital edema, proteinuria, and
hypoalbuminemia. The child has a history of frequent infections and a recent upper
respiratory tract infection.
