WGU D447 WOMEN’S AND CHILDREN’S
COMPREHENSIVE EXAM STUDY GUIDE
WITH COMPLETE SOLUTIONS
●● Which condition has higher priority: epiglottitis or croup?
Answer: Epiglottitis because it can completely obstruct the airway.
●● What should you NEVER do if epiglottitis is suspected?
Answer: Never examine the child's throat.
●● What isolation precautions are required for RSV?
Answer: Contact and Droplet precautions.
●● What nursing intervention is important before feeding an infant with
RSV?
Answer: Suction the airway before feeds.
●● How should a nurse respond to a febrile seizure?
Answer: Protect from injury, do not restrain, and do not put anything in
the mouth.
●● What are the classic signs of pyloric stenosis?
,Answer: Projectile non-bilious vomiting and an olive-shaped abdominal
mass.
●● What are the classic signs of intussusception?
Answer: Currant jelly stools, intermittent severe abdominal pain, knees
drawn to chest.
●● What position should a child with Tetralogy of Fallot be placed in
during a Tet spell?
Answer: Knee-chest position.
●● What are the hallmark findings of nephrotic syndrome?
Answer: Massive proteinuria and edema.
●● What are common signs of congenital hypothyroidism?
Answer: Poor feeding, hypotonia, and constipation.
●● At what age do most children begin walking?
Answer: About 12 months.
●● At what age do children typically use two-word phrases?
Answer: Around 2 years.
, ●● At what age can most children ride a tricycle?
Answer: Around 3 years.
●● At what age can most children hop on one foot?
Answer: Around 4 years.
●● What is the first nursing action for postpartum hemorrhage with a
boggy fundus?
Answer: Massage the fundus.
●● What are signs of magnesium sulfate toxicity?
Answer: Decreased respirations, absent deep tendon reflexes, and low
urine output.
●● What is the antidote for magnesium sulfate toxicity?
Answer: Calcium gluconate.
●● What symptoms should make you suspect worsening preeclampsia?
Answer: Headache, vision changes, and right upper quadrant pain.
●● What causes variable fetal heart rate decelerations?
Answer: Umbilical cord compression.
COMPREHENSIVE EXAM STUDY GUIDE
WITH COMPLETE SOLUTIONS
●● Which condition has higher priority: epiglottitis or croup?
Answer: Epiglottitis because it can completely obstruct the airway.
●● What should you NEVER do if epiglottitis is suspected?
Answer: Never examine the child's throat.
●● What isolation precautions are required for RSV?
Answer: Contact and Droplet precautions.
●● What nursing intervention is important before feeding an infant with
RSV?
Answer: Suction the airway before feeds.
●● How should a nurse respond to a febrile seizure?
Answer: Protect from injury, do not restrain, and do not put anything in
the mouth.
●● What are the classic signs of pyloric stenosis?
,Answer: Projectile non-bilious vomiting and an olive-shaped abdominal
mass.
●● What are the classic signs of intussusception?
Answer: Currant jelly stools, intermittent severe abdominal pain, knees
drawn to chest.
●● What position should a child with Tetralogy of Fallot be placed in
during a Tet spell?
Answer: Knee-chest position.
●● What are the hallmark findings of nephrotic syndrome?
Answer: Massive proteinuria and edema.
●● What are common signs of congenital hypothyroidism?
Answer: Poor feeding, hypotonia, and constipation.
●● At what age do most children begin walking?
Answer: About 12 months.
●● At what age do children typically use two-word phrases?
Answer: Around 2 years.
, ●● At what age can most children ride a tricycle?
Answer: Around 3 years.
●● At what age can most children hop on one foot?
Answer: Around 4 years.
●● What is the first nursing action for postpartum hemorrhage with a
boggy fundus?
Answer: Massage the fundus.
●● What are signs of magnesium sulfate toxicity?
Answer: Decreased respirations, absent deep tendon reflexes, and low
urine output.
●● What is the antidote for magnesium sulfate toxicity?
Answer: Calcium gluconate.
●● What symptoms should make you suspect worsening preeclampsia?
Answer: Headache, vision changes, and right upper quadrant pain.
●● What causes variable fetal heart rate decelerations?
Answer: Umbilical cord compression.
