WGU D447 Women’s and Children’s Health
OA: 60 Practice Questions & Answers for
the 2026/2027 Academic Year
Domain 1: Antepartum & Intrapartum Care (Questions 1–
15)
Q1. A client at 38 weeks' gestation is admitted with blood pressure 160/100
mmHg, +3 proteinuria, and severe headache. What is the priority nursing
action?
• A) Administer oxygen via face mask
• B) Prepare for immediate cesarean section
• C) Administer magnesium sulfate as prescribed
• D) Place the client in a supine position
Answer: C — These are classic signs of severe preeclampsia. Magnesium sulfate is
the priority intervention to prevent seizures (eclampsia).
Q2. A client receiving magnesium sulfate for preeclampsia develops absent
deep tendon reflexes and a respiratory rate of 10/min. What is the priority
action?
• A) Turn the client on her side
• B) Monitor FHR and prepare for emergency C-section
• C) Perform an amniocentesis
• D) Stop the magnesium infusion
Answer: D — Absent DTRs and respiratory depression (<12 breaths/min) are signs of
magnesium toxicity. The priority is to stop the infusion and then administer calcium
gluconate as the antidote.
Q3. What assessment finding indicates magnesium toxicity?
, • A) Hyperactive deep tendon reflexes
• B) Respiratory rate of 16/min
• C) Absent deep tendon reflexes
• D) Blood pressure of 140/90 mmHg
Answer: C — Magnesium toxicity is assessed by checking deep tendon reflexes
(DTRs), monitoring for ankle clonus, and monitoring serum magnesium levels closely.
Absent DTRs are a key warning sign.
Q4. Which of the following are signs of preeclampsia? (Select all that apply.)
• A) Proteinuria
• B) Facial swelling
• C) Blurred vision
• D) Retractions and nasal flaring
Answer: A, B, C — Preeclampsia is defined by hypertension + proteinuria or end-
organ dysfunction. Facial swelling (edema), blurred vision (CNS involvement), and
proteinuria are hallmark signs.
Q5. A client at 32 weeks' gestation reports frequent urination. Which
assessment finding is expected at this gestation?
• A) Fetal heart tones via fetoscope
• B) Fundal height at the xiphoid process
• C) Fundal height at the umbilicus
• D) Fetal heart tones via Doppler
Answer: C — At 32 weeks, the fundal height is typically at or near the umbilicus.
Frequent urination is common due to the enlarging uterus pressing on the bladder.
Q6. What is the therapeutic management of chronic hypertension during
pregnancy?
• A) Immediate induction of labor
, • B) Lifestyle changes, preconception counseling, antihypertensive agents, fetal
movement monitoring, and serial ultrasound
• C) Bed rest with no medication
• D) High-dose aspirin therapy
Answer: B — Management includes lifestyle modifications, preconception
counseling, antihypertensive medications, fetal movement monitoring, and serial
ultrasound examinations.
Q7. What are variable decelerations on fetal monitoring indicative of, and what
is the appropriate nursing intervention?
• A) Head compression; administer oxygen
• B) Cord compression; discontinue oxytocin, consider amnioinfusion, position
change
• C) Placental insufficiency; prepare for C-section
• D) Maternal hypotension; increase IV fluids
Answer: B — Variable decelerations indicate cord compression. Interventions include
discontinuing oxytocin, amnioinfusion, position changes, breathing techniques, and
oxygen (non-rebreather).
Q8. Which of the following is a correct nursing assessment for a woman over
age 35 during pregnancy?
• A) Routine care with no additional testing
• B) Preconception counseling with lifestyle changes, amniocentesis, and
quadruple blood test screening
• C) Immediate induction at 37 weeks
• D) Daily non-stress testing from 20 weeks
Answer: B — Women over age 35 should receive preconception counseling focusing
on lifestyle changes and beginning pregnancy in an optimal state of health, along
with diagnostic tests such as amniocentesis and quadruple blood screen.
OA: 60 Practice Questions & Answers for
the 2026/2027 Academic Year
Domain 1: Antepartum & Intrapartum Care (Questions 1–
15)
Q1. A client at 38 weeks' gestation is admitted with blood pressure 160/100
mmHg, +3 proteinuria, and severe headache. What is the priority nursing
action?
• A) Administer oxygen via face mask
• B) Prepare for immediate cesarean section
• C) Administer magnesium sulfate as prescribed
• D) Place the client in a supine position
Answer: C — These are classic signs of severe preeclampsia. Magnesium sulfate is
the priority intervention to prevent seizures (eclampsia).
Q2. A client receiving magnesium sulfate for preeclampsia develops absent
deep tendon reflexes and a respiratory rate of 10/min. What is the priority
action?
• A) Turn the client on her side
• B) Monitor FHR and prepare for emergency C-section
• C) Perform an amniocentesis
• D) Stop the magnesium infusion
Answer: D — Absent DTRs and respiratory depression (<12 breaths/min) are signs of
magnesium toxicity. The priority is to stop the infusion and then administer calcium
gluconate as the antidote.
Q3. What assessment finding indicates magnesium toxicity?
, • A) Hyperactive deep tendon reflexes
• B) Respiratory rate of 16/min
• C) Absent deep tendon reflexes
• D) Blood pressure of 140/90 mmHg
Answer: C — Magnesium toxicity is assessed by checking deep tendon reflexes
(DTRs), monitoring for ankle clonus, and monitoring serum magnesium levels closely.
Absent DTRs are a key warning sign.
Q4. Which of the following are signs of preeclampsia? (Select all that apply.)
• A) Proteinuria
• B) Facial swelling
• C) Blurred vision
• D) Retractions and nasal flaring
Answer: A, B, C — Preeclampsia is defined by hypertension + proteinuria or end-
organ dysfunction. Facial swelling (edema), blurred vision (CNS involvement), and
proteinuria are hallmark signs.
Q5. A client at 32 weeks' gestation reports frequent urination. Which
assessment finding is expected at this gestation?
• A) Fetal heart tones via fetoscope
• B) Fundal height at the xiphoid process
• C) Fundal height at the umbilicus
• D) Fetal heart tones via Doppler
Answer: C — At 32 weeks, the fundal height is typically at or near the umbilicus.
Frequent urination is common due to the enlarging uterus pressing on the bladder.
Q6. What is the therapeutic management of chronic hypertension during
pregnancy?
• A) Immediate induction of labor
, • B) Lifestyle changes, preconception counseling, antihypertensive agents, fetal
movement monitoring, and serial ultrasound
• C) Bed rest with no medication
• D) High-dose aspirin therapy
Answer: B — Management includes lifestyle modifications, preconception
counseling, antihypertensive medications, fetal movement monitoring, and serial
ultrasound examinations.
Q7. What are variable decelerations on fetal monitoring indicative of, and what
is the appropriate nursing intervention?
• A) Head compression; administer oxygen
• B) Cord compression; discontinue oxytocin, consider amnioinfusion, position
change
• C) Placental insufficiency; prepare for C-section
• D) Maternal hypotension; increase IV fluids
Answer: B — Variable decelerations indicate cord compression. Interventions include
discontinuing oxytocin, amnioinfusion, position changes, breathing techniques, and
oxygen (non-rebreather).
Q8. Which of the following is a correct nursing assessment for a woman over
age 35 during pregnancy?
• A) Routine care with no additional testing
• B) Preconception counseling with lifestyle changes, amniocentesis, and
quadruple blood test screening
• C) Immediate induction at 37 weeks
• D) Daily non-stress testing from 20 weeks
Answer: B — Women over age 35 should receive preconception counseling focusing
on lifestyle changes and beginning pregnancy in an optimal state of health, along
with diagnostic tests such as amniocentesis and quadruple blood screen.
