WGU D447 OBJECTIVE ASSESSMENT AND PRACTICE
EXAM NEWEST 2026/ 2027 TEST BANK| D447
WOMEN’S AND CHILDREN’S NURSING OA EXAM
WITH COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A client at 34 weeks of gestation presents to the prenatal clinic reporting
a severe headache and blurred vision. Her blood pressure is 168/112 mm
Hg on repeat measurement. Urinalysis reveals 3+ protein. The client
reports seeing flashing lights. Which nursing action is the priority?
A. Encourage oral fluids
B. Place the client in a quiet environment and notify the provider
C. Encourage ambulation to improve circulation
D. Recheck the blood pressure in 4 hours - Correct Answer - B. Place
the client in a quiet environment and notify the provider
The client has findings consistent with severe preeclampsia, including
severe hypertension, proteinuria, severe headache, and visual
disturbances. These findings indicate increased risk for cerebral
complications and seizures (eclampsia). The nurse should reduce
environmental stimulation, maintain safety, and promptly notify the
provider for further management, which may include magnesium sulfate
and antihypertensive therapy.
A pregnant client at 30 weeks of gestation is admitted with painless,
bright-red vaginal bleeding. The fetal heart rate is currently 140/min.
The client denies contractions and abdominal pain. Which condition
should the nurse suspect?
A. Placenta previa
pg. 1
,B. Abruptio placentae
C. Preterm labor
D. Uterine rupture - Correct Answer - A. Placenta previa
Painless, bright-red vaginal bleeding during the second half of
pregnancy is characteristic of placenta previa, in which the placenta is
implanted near or over the cervical opening.
The key distinction is that placental abruption typically causes painful
vaginal bleeding accompanied by uterine tenderness or rigidity, although
the amount of visible bleeding can vary. The nurse should avoid
performing a digital vaginal examination until placenta previa has been
excluded because manipulation can provoke severe hemorrhage.
A 6-month-old infant is hospitalized with bronchiolitis. The infant has
nasal congestion, respiratory rate of 62/min, intercostal retractions, and
oxygen saturation of 89% on room air. Which finding requires the most
immediate intervention?
A. Nasal congestion
B. Respiratory rate of 62/min
C. Oxygen saturation of 89%
D. Mildly decreased appetite - Correct Answer - C. Oxygen saturation of
89%
The oxygen saturation of 89% with respiratory distress indicates
impaired oxygenation and requires immediate attention. The infant
should receive oxygen and supportive respiratory care according to the
clinical condition and prescribed protocol.
Bronchiolitis can progress rapidly in infants because of their smaller
airways. Retractions and tachypnea are important signs of respiratory
distress, but the low oxygen saturation demonstrates a significant
oxygenation problem.
pg. 2
,A client receiving magnesium sulfate for severe preeclampsia has the
following assessment findings:
Respiratory rate: 10/min
Patellar reflexes: absent
Urine output: 20 mL/hr
Which medication should the nurse anticipate administering?
A. Oxytocin
B. Calcium gluconate
C. Terbutaline
D. Methylergonovine - Correct Answer - B. Calcium gluconate
Calcium gluconate is the antidote for magnesium sulfate toxicity.
Respiratory depression, absent deep tendon reflexes, and decreased urine
output are manifestations of magnesium toxicity. Prompt administration
of calcium gluconate helps counteract the effects of excessive
magnesium.
A 7-year-old child with asthma develops increasing wheezing and
difficulty breathing after participating in physical activity. The child is
using accessory muscles and can speak only in short phrases. Which
medication should the nurse expect to administer for rapid relief?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Cromolyn - Correct Answer - A. Albuterol
Albuterol is a short-acting beta₂-adrenergic agonist that produces rapid
bronchodilation. It is used as a rescue medication during acute asthma
symptoms to improve airflow and relieve bronchospasm.
pg. 3
, A newborn is 30 minutes old. The nurse notes that the newborn's
temperature is 36.1°C (97°F). The newborn is alert but has cool
extremities. Which intervention is appropriate?
A. Place the newborn under a radiant warmer
B. Bathe the newborn immediately
C. Place the newborn near an open window
D. Remove the newborn's hat - Correct Answer - A. Place the newborn
under a radiant warmer
A temperature of 36.1°C (97°F) indicates neonatal cold stress. A radiant
warmer provides controlled external heat and helps the newborn return
to an appropriate temperature while reducing metabolic demands
associated with maintaining body temperature.
A client at 32 weeks of gestation suddenly develops severe abdominal
pain, a rigid tender uterus, and dark vaginal bleeding. The fetal heart rate
is 90/min. Which complication should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Hyperemesis gravidarum
D. Gestational hypertension - Correct answer - B. Abruptio placentae
Abruptio placentae is premature separation of the placenta from the
uterine wall. It commonly presents with sudden abdominal pain, uterine
tenderness or rigidity, and vaginal bleeding, with possible fetal distress.
This is an obstetric emergency requiring immediate intervention.
A postpartum client is 20 minutes after a vaginal birth. The nurse notes a
boggy uterus, heavy lochia, and a heart rate of 118/min. The uterus
becomes firm after fundal massage but quickly becomes boggy again.
Which action should the nurse take next?
pg. 4
EXAM NEWEST 2026/ 2027 TEST BANK| D447
WOMEN’S AND CHILDREN’S NURSING OA EXAM
WITH COMPLETE 350 REAL EXAM QUESTIONS AND
CORRECT VERIFIED ANSWERS/ ALREADY GRADED
A+ (MOST RECENT!!)
A client at 34 weeks of gestation presents to the prenatal clinic reporting
a severe headache and blurred vision. Her blood pressure is 168/112 mm
Hg on repeat measurement. Urinalysis reveals 3+ protein. The client
reports seeing flashing lights. Which nursing action is the priority?
A. Encourage oral fluids
B. Place the client in a quiet environment and notify the provider
C. Encourage ambulation to improve circulation
D. Recheck the blood pressure in 4 hours - Correct Answer - B. Place
the client in a quiet environment and notify the provider
The client has findings consistent with severe preeclampsia, including
severe hypertension, proteinuria, severe headache, and visual
disturbances. These findings indicate increased risk for cerebral
complications and seizures (eclampsia). The nurse should reduce
environmental stimulation, maintain safety, and promptly notify the
provider for further management, which may include magnesium sulfate
and antihypertensive therapy.
A pregnant client at 30 weeks of gestation is admitted with painless,
bright-red vaginal bleeding. The fetal heart rate is currently 140/min.
The client denies contractions and abdominal pain. Which condition
should the nurse suspect?
A. Placenta previa
pg. 1
,B. Abruptio placentae
C. Preterm labor
D. Uterine rupture - Correct Answer - A. Placenta previa
Painless, bright-red vaginal bleeding during the second half of
pregnancy is characteristic of placenta previa, in which the placenta is
implanted near or over the cervical opening.
The key distinction is that placental abruption typically causes painful
vaginal bleeding accompanied by uterine tenderness or rigidity, although
the amount of visible bleeding can vary. The nurse should avoid
performing a digital vaginal examination until placenta previa has been
excluded because manipulation can provoke severe hemorrhage.
A 6-month-old infant is hospitalized with bronchiolitis. The infant has
nasal congestion, respiratory rate of 62/min, intercostal retractions, and
oxygen saturation of 89% on room air. Which finding requires the most
immediate intervention?
A. Nasal congestion
B. Respiratory rate of 62/min
C. Oxygen saturation of 89%
D. Mildly decreased appetite - Correct Answer - C. Oxygen saturation of
89%
The oxygen saturation of 89% with respiratory distress indicates
impaired oxygenation and requires immediate attention. The infant
should receive oxygen and supportive respiratory care according to the
clinical condition and prescribed protocol.
Bronchiolitis can progress rapidly in infants because of their smaller
airways. Retractions and tachypnea are important signs of respiratory
distress, but the low oxygen saturation demonstrates a significant
oxygenation problem.
pg. 2
,A client receiving magnesium sulfate for severe preeclampsia has the
following assessment findings:
Respiratory rate: 10/min
Patellar reflexes: absent
Urine output: 20 mL/hr
Which medication should the nurse anticipate administering?
A. Oxytocin
B. Calcium gluconate
C. Terbutaline
D. Methylergonovine - Correct Answer - B. Calcium gluconate
Calcium gluconate is the antidote for magnesium sulfate toxicity.
Respiratory depression, absent deep tendon reflexes, and decreased urine
output are manifestations of magnesium toxicity. Prompt administration
of calcium gluconate helps counteract the effects of excessive
magnesium.
A 7-year-old child with asthma develops increasing wheezing and
difficulty breathing after participating in physical activity. The child is
using accessory muscles and can speak only in short phrases. Which
medication should the nurse expect to administer for rapid relief?
A. Albuterol
B. Montelukast
C. Fluticasone
D. Cromolyn - Correct Answer - A. Albuterol
Albuterol is a short-acting beta₂-adrenergic agonist that produces rapid
bronchodilation. It is used as a rescue medication during acute asthma
symptoms to improve airflow and relieve bronchospasm.
pg. 3
, A newborn is 30 minutes old. The nurse notes that the newborn's
temperature is 36.1°C (97°F). The newborn is alert but has cool
extremities. Which intervention is appropriate?
A. Place the newborn under a radiant warmer
B. Bathe the newborn immediately
C. Place the newborn near an open window
D. Remove the newborn's hat - Correct Answer - A. Place the newborn
under a radiant warmer
A temperature of 36.1°C (97°F) indicates neonatal cold stress. A radiant
warmer provides controlled external heat and helps the newborn return
to an appropriate temperature while reducing metabolic demands
associated with maintaining body temperature.
A client at 32 weeks of gestation suddenly develops severe abdominal
pain, a rigid tender uterus, and dark vaginal bleeding. The fetal heart rate
is 90/min. Which complication should the nurse suspect?
A. Placenta previa
B. Abruptio placentae
C. Hyperemesis gravidarum
D. Gestational hypertension - Correct answer - B. Abruptio placentae
Abruptio placentae is premature separation of the placenta from the
uterine wall. It commonly presents with sudden abdominal pain, uterine
tenderness or rigidity, and vaginal bleeding, with possible fetal distress.
This is an obstetric emergency requiring immediate intervention.
A postpartum client is 20 minutes after a vaginal birth. The nurse notes a
boggy uterus, heavy lochia, and a heart rate of 118/min. The uterus
becomes firm after fundal massage but quickly becomes boggy again.
Which action should the nurse take next?
pg. 4
