D447 Women’s & Children’s Health Objective Assessment 2… 2026 Update • Verified Answers
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
D447 Women’s & Children’s Health Objective
Assessment 2026 UPDATE |WGU
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,D447 Women’s & Children’s Health Objective Assessment 2… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is caring for a client who is at 34 weeks of gestation and has a diagnosis of
preeclampsia. Which of the following findings should the nurse report to the provider
immediately?
A. Urine output of 20 mL/hr
B. 1+ pitting edema in the lower extremities
C. Blood pressure of 148/92 mmHg
D. Weight gain of 0.5 kg in one week
Answer: A
Rationale: A urine output of less than 30 mL/hr is a sign of decreased renal perfusion and may indicate
worsening preeclampsia or impending renal failure. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (A) requires understanding both the pathophysiology and the practical nursing
implications.
2. A nurse is monitoring a client in labor who is receiving an oxytocin infusion. The nurse notes
late decelerations on the fetal heart rate monitor. Which action should the nurse take first?
A. Turn the client to a side-lying position
B. Place the client in a supine position
C. Increase the oxytocin infusion rate
D. Administer oxygen via nasal cannulae at 2 L/min
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to improve placental
blood flow by turning the client to a side-lying position and discontinuing the oxytocin. This is an important
clinical concept because selecting the correct answer (A) requires understanding both the pathophysiology and
the practical nursing implications.
3. A postpartum nurse is assessing a client 4 hours after a vaginal delivery. The nurse finds the
fundus is boggy and displaced to the right of the midline. What is the most likely cause?
A. Bladder distension
B. Retained placental fragments
C. Uterine atony
D. Endometritis
Answer: A
Rationale: A full bladder displaces the uterus upward and to the side (usually the right), preventing the uterus
from contracting firmly, which increases the risk of hemorrhage. This is an important clinical concept because
selecting the correct answer (A) requires understanding both the pathophysiology and the practical nursing
implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, D447 Women’s & Children’s Health Objective Assessment 2… 2026 Update • Verified Answers
4. A nurse is assessing a newborn 1 minute after birth. The newborn has a heart rate of 110/min,
a slow/weak cry, some flexion of extremities, grimace when stimulated, and a pink body with
blue extremities. What is the APGAR score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (1), Color (1). Total = 6.
Exam questions often test the ability to distinguish this concept from closely related distractors, making a clear
rationale essential for mastery. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes.
5. Which of the following instructions should a nurse include when teaching a pregnant client
about a 1-hour glucose tolerance test (GTT)?
A. Fast for 12 hours before the test
B. Avoid caffeine for 24 hours before the test
C. Eat a high-protein meal right before the test
D. A blood glucose level above 140 mg/dL requires further testing
Answer: D
Rationale: The 1-hour GTT is a screening tool. If the blood glucose is higher than 130-140 mg/dL, a 3-hour oral
glucose tolerance test is required for diagnosis. This is an important clinical concept because selecting the
correct answer (D) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
6. A nurse is teaching a client who is at 28 weeks of gestation and is Rh-negative. Which of the
following statements indicates an understanding of Rho(D) immune globulin?
A. I need this medication now and again after delivery if the baby is Rh-positive.
B. I will receive this medication only if my baby is Rh-negative.
C. This medication will prevent my baby from developing jaundice.
D. immune globulin?
Answer: A
Rationale: Rho(D) immune globulin is administered at 28 weeks and within 72 hours of delivery if the infant is
Rh-positive to prevent sensitization. This is an important clinical concept because selecting the correct answer
(A) requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
✓ VERIFIED • 2026 UPDATE • 100% ACCURATE
D447 Women’s & Children’s Health Objective
Assessment 2026 UPDATE |WGU
Actual Exam Questions & Verified Answers
with Detailed Rationales
Document Type: Exam (Elaborations)
Academic Year:
Total Questions: 50 Multiple Choice
Includes: Correct Answers + Full Rationales
Status: Verified & Updated for 2026
Exam (Elaborations) • Actual Questions & Rationales Page 1
,D447 Women’s & Children’s Health Objective Assessment 2… 2026 Update • Verified Answers
Questions & Verified Answers
1. A nurse is caring for a client who is at 34 weeks of gestation and has a diagnosis of
preeclampsia. Which of the following findings should the nurse report to the provider
immediately?
A. Urine output of 20 mL/hr
B. 1+ pitting edema in the lower extremities
C. Blood pressure of 148/92 mmHg
D. Weight gain of 0.5 kg in one week
Answer: A
Rationale: A urine output of less than 30 mL/hr is a sign of decreased renal perfusion and may indicate
worsening preeclampsia or impending renal failure. Applying this knowledge in clinical settings supports safe,
evidence-based practice and improves patient outcomes. This is an important clinical concept because
selecting the correct answer (A) requires understanding both the pathophysiology and the practical nursing
implications.
2. A nurse is monitoring a client in labor who is receiving an oxytocin infusion. The nurse notes
late decelerations on the fetal heart rate monitor. Which action should the nurse take first?
A. Turn the client to a side-lying position
B. Place the client in a supine position
C. Increase the oxytocin infusion rate
D. Administer oxygen via nasal cannulae at 2 L/min
Answer: A
Rationale: Late decelerations indicate uteroplacental insufficiency. The priority action is to improve placental
blood flow by turning the client to a side-lying position and discontinuing the oxytocin. This is an important
clinical concept because selecting the correct answer (A) requires understanding both the pathophysiology and
the practical nursing implications.
3. A postpartum nurse is assessing a client 4 hours after a vaginal delivery. The nurse finds the
fundus is boggy and displaced to the right of the midline. What is the most likely cause?
A. Bladder distension
B. Retained placental fragments
C. Uterine atony
D. Endometritis
Answer: A
Rationale: A full bladder displaces the uterus upward and to the side (usually the right), preventing the uterus
from contracting firmly, which increases the risk of hemorrhage. This is an important clinical concept because
selecting the correct answer (A) requires understanding both the pathophysiology and the practical nursing
implications.
Exam (Elaborations) • Actual Questions & Rationales Page 2
, D447 Women’s & Children’s Health Objective Assessment 2… 2026 Update • Verified Answers
4. A nurse is assessing a newborn 1 minute after birth. The newborn has a heart rate of 110/min,
a slow/weak cry, some flexion of extremities, grimace when stimulated, and a pink body with
blue extremities. What is the APGAR score?
A. 5
B. 7
C. 6
D. 8
Answer: C
Rationale: Heart rate (2), Respiratory effort (1), Muscle tone (1), Reflex irritability (1), Color (1). Total = 6.
Exam questions often test the ability to distinguish this concept from closely related distractors, making a clear
rationale essential for mastery. Applying this knowledge in clinical settings supports safe, evidence-based
practice and improves patient outcomes.
5. Which of the following instructions should a nurse include when teaching a pregnant client
about a 1-hour glucose tolerance test (GTT)?
A. Fast for 12 hours before the test
B. Avoid caffeine for 24 hours before the test
C. Eat a high-protein meal right before the test
D. A blood glucose level above 140 mg/dL requires further testing
Answer: D
Rationale: The 1-hour GTT is a screening tool. If the blood glucose is higher than 130-140 mg/dL, a 3-hour oral
glucose tolerance test is required for diagnosis. This is an important clinical concept because selecting the
correct answer (D) requires understanding both the pathophysiology and the practical nursing implications.
Recognizing this principle allows the nurse to prioritize care, anticipate complications, and provide accurate
patient education.
6. A nurse is teaching a client who is at 28 weeks of gestation and is Rh-negative. Which of the
following statements indicates an understanding of Rho(D) immune globulin?
A. I need this medication now and again after delivery if the baby is Rh-positive.
B. I will receive this medication only if my baby is Rh-negative.
C. This medication will prevent my baby from developing jaundice.
D. immune globulin?
Answer: A
Rationale: Rho(D) immune globulin is administered at 28 weeks and within 72 hours of delivery if the infant is
Rh-positive to prevent sensitization. This is an important clinical concept because selecting the correct answer
(A) requires understanding both the pathophysiology and the practical nursing implications. Recognizing this
principle allows the nurse to prioritize care, anticipate complications, and provide accurate patient education.
Exam (Elaborations) • Actual Questions & Rationales Page 3
