WGU D 4 4 7 O B J E C T I V E
ASSE SSME NT E X A M
Womenʼs & Childrenʼs
Health
200 Questions · Answers with Full Rationales
2 0 2 6 update
,D447 Objective Assessment Practice Exam Women's & Children's Health (2026)
D447 Objective Assessment Practice Exam
Women's & Children's Health · 200 Questions with Answers and Full Rationales · 2026
Edition
How to Use This Practice Exam
This exam contains 200 NCLEX-style, single-best-answer questions covering the maternal-newborn and pediatric nursing
content typically tested on the D447 Women's and Children's Health objective assessment: antepartum care, intrapartum
management, postpartum recovery, the healthy and at-risk newborn, and children's health from growth and development
through adolescent care. The correct answer and a full rationale appear immediately after each question, explaining why the
answer is right and why the key distractors are wrong.
Suggested use: complete a first pass of 50 questions at a time, checking each rationale before moving on; mark missed
items and retest yourself on those only. Allow roughly 3 to 4 hours for a full timed run at about one minute per question. A
score of 80 percent or higher (160 of 200) indicates readiness. This independent study aid is aligned with standard
curriculum content and is not affiliated with, endorsed by, or copied from Western Governors University.
1. A client's
last menstrual period began on March 15. Using Naegele's rule,
what is the estimated date of birth (EDB)?
A. December 22
B. December 15
C. January 22
D. June 22
Correct Answer: A
Rationale: Naegele's rule requires subtracting 3 months from the first day of
the last menstrual period, then adding 7 days (and adjusting the year forward if
needed). March 15 minus 3 months is December 15; adding 7 days gives
December 22. December 15 omits the 7-day addition, January 22 adds months
instead of subtracting, and June 22 counts in the wrong direction entirely.
2. A pregnant client has previously given birth to one son at 39 weeks'
gestation and had one spontaneous abortion at 10 weeks. All children are
living. Using GTPAL, how should the nurse document this client's
pregnancy history?
A. 2-1-0-1-2
B. 2-1-1-0-1
C. 2-1-0-1-1
1
,D447 Objective Assessment Practice Exam Women's & Children's Health (2026)
D. 3-1-0-1-1
Correct Answer: C
Rationale: The current pregnancy counts in gravida (G = 2), term births (T = 1
for the 39-week delivery), preterm births (P = 0), abortions (A = 1 for the loss
before 20 weeks), and living children (L = 1). Option A overstates living
children, option B misclassifies the abortion as a preterm birth, and option D
counts the current pregnancy twice.
2
, D447 Objective Assessment Practice Exam Women's & Children's Health (2026)
3. A nurseis teaching a client who is planning to become pregnant about
nutritional supplementation. Which supplement should the nurse emphasize to
reduce the risk of neural tube defects?
A. Calcium 1,000 mg daily
B. Folic acid 400 mcg daily
C. Iron 30 mg daily
D. Vitamin D 600 IU daily
Correct Answer: B
Rationale: Folic acid 400 mcg daily, begun at least 1 month before conception
and continued through the first trimester, reduces neural tube defects such as
spina bifida and anencephaly. Calcium, iron, and vitamin D all support a healthy
pregnancy, but none of them prevents neural tube defects, which close by the
fourth week of gestation.
4. A nurse is reviewing danger signs of pregnancy with a client at 30 weeks'
gestation. Which report requires immediate notification of the provider?
A. Mild ankle edema at the end of the day
B. Urinary frequency without burning
C. Nasal congestion and epistaxis
D. Severe headache with visual disturbances
Correct Answer: D
Rationale: Severe headache with visual disturbances (blurred vision, spots,
scotomata) signals cerebral irritability from preeclampsia and increases the risk
of seizure, so it must be reported immediately. Mild dependent ankle edema,
urinary frequency without dysuria, and nasal congestion are common, expected
discomforts of pregnancy caused by hormonal changes and uterine pressure.
5. Aclient at 17 weeks' gestation asks which screening test detects neural tube
defects and Down syndrome risk. The nurse should explain that the maternal
serum screening performed between 15 and 20 weeks is the:
A. Chorionic villus sampling
B. Quad screen (maternal serum alpha-fetoprotein panel)
C. Amniocentesis
D. 1-hour glucose tolerance test
3
ASSE SSME NT E X A M
Womenʼs & Childrenʼs
Health
200 Questions · Answers with Full Rationales
2 0 2 6 update
,D447 Objective Assessment Practice Exam Women's & Children's Health (2026)
D447 Objective Assessment Practice Exam
Women's & Children's Health · 200 Questions with Answers and Full Rationales · 2026
Edition
How to Use This Practice Exam
This exam contains 200 NCLEX-style, single-best-answer questions covering the maternal-newborn and pediatric nursing
content typically tested on the D447 Women's and Children's Health objective assessment: antepartum care, intrapartum
management, postpartum recovery, the healthy and at-risk newborn, and children's health from growth and development
through adolescent care. The correct answer and a full rationale appear immediately after each question, explaining why the
answer is right and why the key distractors are wrong.
Suggested use: complete a first pass of 50 questions at a time, checking each rationale before moving on; mark missed
items and retest yourself on those only. Allow roughly 3 to 4 hours for a full timed run at about one minute per question. A
score of 80 percent or higher (160 of 200) indicates readiness. This independent study aid is aligned with standard
curriculum content and is not affiliated with, endorsed by, or copied from Western Governors University.
1. A client's
last menstrual period began on March 15. Using Naegele's rule,
what is the estimated date of birth (EDB)?
A. December 22
B. December 15
C. January 22
D. June 22
Correct Answer: A
Rationale: Naegele's rule requires subtracting 3 months from the first day of
the last menstrual period, then adding 7 days (and adjusting the year forward if
needed). March 15 minus 3 months is December 15; adding 7 days gives
December 22. December 15 omits the 7-day addition, January 22 adds months
instead of subtracting, and June 22 counts in the wrong direction entirely.
2. A pregnant client has previously given birth to one son at 39 weeks'
gestation and had one spontaneous abortion at 10 weeks. All children are
living. Using GTPAL, how should the nurse document this client's
pregnancy history?
A. 2-1-0-1-2
B. 2-1-1-0-1
C. 2-1-0-1-1
1
,D447 Objective Assessment Practice Exam Women's & Children's Health (2026)
D. 3-1-0-1-1
Correct Answer: C
Rationale: The current pregnancy counts in gravida (G = 2), term births (T = 1
for the 39-week delivery), preterm births (P = 0), abortions (A = 1 for the loss
before 20 weeks), and living children (L = 1). Option A overstates living
children, option B misclassifies the abortion as a preterm birth, and option D
counts the current pregnancy twice.
2
, D447 Objective Assessment Practice Exam Women's & Children's Health (2026)
3. A nurseis teaching a client who is planning to become pregnant about
nutritional supplementation. Which supplement should the nurse emphasize to
reduce the risk of neural tube defects?
A. Calcium 1,000 mg daily
B. Folic acid 400 mcg daily
C. Iron 30 mg daily
D. Vitamin D 600 IU daily
Correct Answer: B
Rationale: Folic acid 400 mcg daily, begun at least 1 month before conception
and continued through the first trimester, reduces neural tube defects such as
spina bifida and anencephaly. Calcium, iron, and vitamin D all support a healthy
pregnancy, but none of them prevents neural tube defects, which close by the
fourth week of gestation.
4. A nurse is reviewing danger signs of pregnancy with a client at 30 weeks'
gestation. Which report requires immediate notification of the provider?
A. Mild ankle edema at the end of the day
B. Urinary frequency without burning
C. Nasal congestion and epistaxis
D. Severe headache with visual disturbances
Correct Answer: D
Rationale: Severe headache with visual disturbances (blurred vision, spots,
scotomata) signals cerebral irritability from preeclampsia and increases the risk
of seizure, so it must be reported immediately. Mild dependent ankle edema,
urinary frequency without dysuria, and nasal congestion are common, expected
discomforts of pregnancy caused by hormonal changes and uterine pressure.
5. Aclient at 17 weeks' gestation asks which screening test detects neural tube
defects and Down syndrome risk. The nurse should explain that the maternal
serum screening performed between 15 and 20 weeks is the:
A. Chorionic villus sampling
B. Quad screen (maternal serum alpha-fetoprotein panel)
C. Amniocentesis
D. 1-hour glucose tolerance test
3
