WGU D 447 WOMEN AND CHILDREN NURSING FINAL
EXAM 2026/2027 QUESTIONS AND CORRECT
ANSWERS GRADED A+
A nurse is administering magnesium sulfate(anticonvulsant) to a client at 30 weeks for severe
preeclampsia. What is the primary reason for this medication?
To prevent seizures
A nurse is assessing a client receiving magnesium sulfate. Which signs are indicative of magnesium
sulfate toxicity? (Select all that apply.)
Loss of deep tendon reflexes (DTRs). Respiratory rate <12 breaths per minute. Increased urine output.
Decreased level of consciousness (LOC).Serum magnesium level >8 mg/dL.
A nurse is administering magnesium sulfate to a client with severe preeclampsia. Which of the following
are the primary uses and monitoring considerations for magnesium sulfate? (Select all that apply.)
Prevents seizures in preeclampsia/eclampsia. Acts as a tocolytic to stop preterm labor.Causes a decrease
in maternal blood pressure.Requires close monitoring for signs of toxicity, such as respiratory
depression.Monitored for loss of deep tendon reflexes (DTRs) as a sign of toxicity.
A nurse is reviewing the results of a maternal serum alpha-fetoprotein (MSAFP) test that shows elevated
levels. Which actions and considerations should be taken next? (Select all that apply.)
,Perform an ultrasound to assess fetal anatomy and confirm gestational age. Consider amniocentesis if
ultrasound findings are abnormal. Investigate neural tube defects like spina bifida or anencephaly.
Recognize that elevated AFP does not confirm a diagnosis, further testing is necessary.
A pregnant client tests HIV-positive. Which of the following are appropriate interventions for managing
the pregnancy, labor, and postpartum period? (Select all that apply.)
Antiretroviral therapy (ART) should be continued throughout pregnancy.Cesarean section is
recommended if viral load is high.Vaginal delivery depends on viral load.Baby receives antiretroviral
prophylaxis after birth.Bathing is usually done after the first 24 hours to prevent HIV exposure.No
breastfeeding!
A nurse is providing postpartum care to an HIV-positive mother and her newborn. Which actions are
correct in managing the mother and newborn? (Select all that apply.)
Continue ART postpartum to reduce viral load.Test the baby for HIV at 2 weeks, 4–6 weeks, and 6
months. Exclusive formula feeding is recommended.
A nurse is caring for an HIV-positive mother and her newborn. Which precautions should be followed to
prevent HIV transmission? SATA
Standard precautions for both mother and baby.Mother should wear gloves when handling baby’s bodily
fluids. Practice good hand hygiene when handling baby. Baby should receive vaccinations .
Which medications are given to an HIV-positive mother during prenatal care, labor, and postpartum care?
(Select all that apply.
,ART to reduce vertical transmission. Zidovudine (AZT) during labor if viral load is detectable.IV
zidovudine if viral load is high during labor. Continue ART postpartum.
Which statements are true about Zidovudine (AZT)? (Select all that apply.)
treats HIV.Given to HIV-positive mothers during labor to reduce transmission.Used for post-exposure
prophylaxis (PEP).Does not treat bacterial infections.
Which of the following are important for the diagnosis and management of gestational diabetes? (Select
all that apply.)
A fasting blood glucose level of ≥ 92 mg/dL is a diagnostic criterion for gestational diabetes.The OGTT is
conducted between 24-28 weeks for diagnosis.Insulin oral hypoglycemic medications may be employed
to manage glucose levels.Hemoglobin Ac is not utilized for diagnosing gestational diabetes.Postprandial
blood glucose should be < 180 mg/dL for a healthy pregnancy.
Which of the following insulin or oral hypoglycemic medications are commonly used to manage
gestational diabetes? (Select all that apply.)
Insulin (e.g., regular insulin, NPH). Metformin,Glyburide
Which statements are correct about GPTAL (Gravida, Para, Term, Abortions, and Living) when
documenting pregnancy history? (Select all that apply.)
, Gravida = total number of pregnancies.
Para = pregnancies carried to 20+ weeks.
Term = deliveries after 37 weeks.
Abortions = losses before 20 weeks.
Living = current number of living children a mother has..
Which dietary recommendations are important during pregnancy? (Select all that apply.)
Folic acid is crucial for preventing neural tube defects( anacephaly,spinal bifa)
Extra calories (25-30) support pregnancy growth.
Hydration with 8 cups of water is important.
Protein intake should be higher, not limited.
Dairy can be consumed, unless there's an intolerance.
Which interventions should be followed for a patient with active herpes? (Select all that apply.)SN: meds
with VIR( viruses)
EXAM 2026/2027 QUESTIONS AND CORRECT
ANSWERS GRADED A+
A nurse is administering magnesium sulfate(anticonvulsant) to a client at 30 weeks for severe
preeclampsia. What is the primary reason for this medication?
To prevent seizures
A nurse is assessing a client receiving magnesium sulfate. Which signs are indicative of magnesium
sulfate toxicity? (Select all that apply.)
Loss of deep tendon reflexes (DTRs). Respiratory rate <12 breaths per minute. Increased urine output.
Decreased level of consciousness (LOC).Serum magnesium level >8 mg/dL.
A nurse is administering magnesium sulfate to a client with severe preeclampsia. Which of the following
are the primary uses and monitoring considerations for magnesium sulfate? (Select all that apply.)
Prevents seizures in preeclampsia/eclampsia. Acts as a tocolytic to stop preterm labor.Causes a decrease
in maternal blood pressure.Requires close monitoring for signs of toxicity, such as respiratory
depression.Monitored for loss of deep tendon reflexes (DTRs) as a sign of toxicity.
A nurse is reviewing the results of a maternal serum alpha-fetoprotein (MSAFP) test that shows elevated
levels. Which actions and considerations should be taken next? (Select all that apply.)
,Perform an ultrasound to assess fetal anatomy and confirm gestational age. Consider amniocentesis if
ultrasound findings are abnormal. Investigate neural tube defects like spina bifida or anencephaly.
Recognize that elevated AFP does not confirm a diagnosis, further testing is necessary.
A pregnant client tests HIV-positive. Which of the following are appropriate interventions for managing
the pregnancy, labor, and postpartum period? (Select all that apply.)
Antiretroviral therapy (ART) should be continued throughout pregnancy.Cesarean section is
recommended if viral load is high.Vaginal delivery depends on viral load.Baby receives antiretroviral
prophylaxis after birth.Bathing is usually done after the first 24 hours to prevent HIV exposure.No
breastfeeding!
A nurse is providing postpartum care to an HIV-positive mother and her newborn. Which actions are
correct in managing the mother and newborn? (Select all that apply.)
Continue ART postpartum to reduce viral load.Test the baby for HIV at 2 weeks, 4–6 weeks, and 6
months. Exclusive formula feeding is recommended.
A nurse is caring for an HIV-positive mother and her newborn. Which precautions should be followed to
prevent HIV transmission? SATA
Standard precautions for both mother and baby.Mother should wear gloves when handling baby’s bodily
fluids. Practice good hand hygiene when handling baby. Baby should receive vaccinations .
Which medications are given to an HIV-positive mother during prenatal care, labor, and postpartum care?
(Select all that apply.
,ART to reduce vertical transmission. Zidovudine (AZT) during labor if viral load is detectable.IV
zidovudine if viral load is high during labor. Continue ART postpartum.
Which statements are true about Zidovudine (AZT)? (Select all that apply.)
treats HIV.Given to HIV-positive mothers during labor to reduce transmission.Used for post-exposure
prophylaxis (PEP).Does not treat bacterial infections.
Which of the following are important for the diagnosis and management of gestational diabetes? (Select
all that apply.)
A fasting blood glucose level of ≥ 92 mg/dL is a diagnostic criterion for gestational diabetes.The OGTT is
conducted between 24-28 weeks for diagnosis.Insulin oral hypoglycemic medications may be employed
to manage glucose levels.Hemoglobin Ac is not utilized for diagnosing gestational diabetes.Postprandial
blood glucose should be < 180 mg/dL for a healthy pregnancy.
Which of the following insulin or oral hypoglycemic medications are commonly used to manage
gestational diabetes? (Select all that apply.)
Insulin (e.g., regular insulin, NPH). Metformin,Glyburide
Which statements are correct about GPTAL (Gravida, Para, Term, Abortions, and Living) when
documenting pregnancy history? (Select all that apply.)
, Gravida = total number of pregnancies.
Para = pregnancies carried to 20+ weeks.
Term = deliveries after 37 weeks.
Abortions = losses before 20 weeks.
Living = current number of living children a mother has..
Which dietary recommendations are important during pregnancy? (Select all that apply.)
Folic acid is crucial for preventing neural tube defects( anacephaly,spinal bifa)
Extra calories (25-30) support pregnancy growth.
Hydration with 8 cups of water is important.
Protein intake should be higher, not limited.
Dairy can be consumed, unless there's an intolerance.
Which interventions should be followed for a patient with active herpes? (Select all that apply.)SN: meds
with VIR( viruses)
