D447 - Women's and Children's Nursing
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20250426143122_680cee3a49fe7_wgu_d447_final_exam.docx9/28/2026, 7:44:17 AM//////////////////////////////////////////////////////////////???????????????????????????????
lOMoAR cPSD| 18211884
WGU D447 EXAM FALLSPRING TERM
WITH CORRECT ANSWERS
❖ A nurse is teaching a client who is pregnant about a new prescription for iron supplements.
Which of the following instructions should the nurse include in the teaching?
• Increase intake of foods rich in vitamin C
• Take an extra pill if you miss a dose
• Report black stools to the provider
• Drink 8 ox of milk with each pill
❖ A nurse is caring for a preterm newborn immediately after delivery. Which of the following
actions should the nurse take first?
• Dry the infant under the radiant warmer
• Take the infant’s temperature
• Weigh the infant
• Obtain the infant’s blood glucose
❖ A nurse is discussing family planning with a client who has a history of DVT. The nurse should
inform the client that this condition is a contraindication for which of the following birth
control methods?
• Oral contraceptive
• Cervical cap
• Diaphragm
• Intrauterine device
❖ A nurse is teaching a client who is postpartum about car seat safety. Which of the following
statements indicates and understanding of the instructions?
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:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
, D447 - Women's and Children's Nursing
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20250426143122_680cee3a49fe7_wgu_d447_final_exam.docx9/28/2026, 7:44:17 AM//////////////////////////////////////////////////////////////???????????????????????????????
• I will make sure the retainer clip is at the level of my baby’s abdomen
• I will position the car seat in the front passenger seat facing the font of the car
• I will adjust the angle of the car seat so that my baby sits at a 90-degre angle
• I will place the shoulder harness slightly below my baby’s shoulders
❖ A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal
abstinence syndrome. Which of the following findings indicates narcotic withdrawl? •
Excessive Crying
• Unequal pupils
• Respiratory rate of 50/min
• Hypotonia
❖ A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine
position, which of the following methods should the nurse use to elicit the Moro reflex?
• Make a loud noise above the newborn
• Touch the newborn’s cheek with a finger
• Turn the newborn’s head to one side
• Tap the newborn’s forehead with a finger
❖ A nurse is providing teaching to a client who is postpartum about her car seat safety. Which
of the following statements by the client indicates an understanding of the teaching?
• I will ensure that my baby is at a 45-degree angle in the car seat
• I will put my baby facing forward in the middle of the back seat of the car
• I will fasten the harness clip 1 inch above my baby’s underarms
• I will swaddle my baby in a blanket before placing her in the car seat
❖ A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following
statements by the client indicates an understanding of the teaching?
• I should apply a warm compress after feeding
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:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
, D447 - Women's and Children's Nursing
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20250426143122_680cee3a49fe7_wgu_d447_final_exam.docx9/28/2026, 7:44:17 AM//////////////////////////////////////////////////////////////???????????????????????????????
• I should apply lanolin to the infection site daily
• I should use a nipple shield while breastfeeding
• I should stop breastfeeding until the infection has healed
❖ A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the
following statements should the nurse make?
• You can bathe and dress your baby if you’d like to
• You should name the baby so he can have an identity
• If you don’t hold the baby, it will make letting go much harder
• Im sure you will be able to have another baby when you’re ready
❖ A nurse is performing an initial assessment of a newborn who was delivered with a nuchal
cord. Which of the following clinical findings should the nurse expect?
• Facial petechiae
• Erythema toxicum
• Periauricular papillomas
• Telangilectatic nevi
❖ A charge nurse is discussing STIs with a newly licensed nurse. Which of the following
infections should the nurse include in the teaching as an indication for a cesarean birth?
• HIV
• Chlamydia
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:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
, D447 - Women's and Children's Nursing
????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
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20250426143122_680cee3a49fe7_wgu_d447_final_exam.docx9/28/2026, 7:44:17 AM//////////////////////////////////////////////////////////////???????????????????????????????
• Gonorrhea
• Syphilis
❖ A nurse is reviewing the medication prescriptions for a newborn who is 6 hours old and
whose mother is HBsAg-positive. The nurse should anticipate administering which of the
following medications?
• Hepatitis B Immune Globulin
• Hepatitis A immune globulin
• Haemophilus inflenzae type B vaccine
• Hepatitis A vaccine
❖ A nurse is assessing a client immediately following the placement of an epidural. The nurse
obtains a maternal blood pressure of 96/54 and a fetal HR of 102/min. Which of the following
actions should the nurse take?
• Position the client in a lateral position
• OR administer naloxone to the client???
• Prepare the client for an amnioinfusion
• Place the client in knee-chest position
❖ A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the
following actions should the nurse include in the plan of care?
• Avoid using lotion or ointment on the newborn’s skin
• Dress the newborn in lightweight clothing
• Keep the newborn supine throughout treatment
• Measure the newborn’s temperature every 8 hours
❖ A nurse on the labor and delivery unit is caring for a client who is at 33 weeks of gestation
and was admitted with placenta previa. Which of the following interventions should the
nruse include in the client’s plan of care?
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:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
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:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
20250426143122_680cee3a49fe7_wgu_d447_final_exam.docx9/28/2026, 7:44:17 AM//////////////////////////////////////////////////////////////???????????????????????????????
lOMoAR cPSD| 18211884
WGU D447 EXAM FALLSPRING TERM
WITH CORRECT ANSWERS
❖ A nurse is teaching a client who is pregnant about a new prescription for iron supplements.
Which of the following instructions should the nurse include in the teaching?
• Increase intake of foods rich in vitamin C
• Take an extra pill if you miss a dose
• Report black stools to the provider
• Drink 8 ox of milk with each pill
❖ A nurse is caring for a preterm newborn immediately after delivery. Which of the following
actions should the nurse take first?
• Dry the infant under the radiant warmer
• Take the infant’s temperature
• Weigh the infant
• Obtain the infant’s blood glucose
❖ A nurse is discussing family planning with a client who has a history of DVT. The nurse should
inform the client that this condition is a contraindication for which of the following birth
control methods?
• Oral contraceptive
• Cervical cap
• Diaphragm
• Intrauterine device
❖ A nurse is teaching a client who is postpartum about car seat safety. Which of the following
statements indicates and understanding of the instructions?
????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>""
:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
, D447 - Women's and Children's Nursing
????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
20250426143122_680cee3a49fe7_wgu_d447_final_exam.docx9/28/2026, 7:44:17 AM//////////////////////////////////////////////////////////////???????????????????????????????
• I will make sure the retainer clip is at the level of my baby’s abdomen
• I will position the car seat in the front passenger seat facing the font of the car
• I will adjust the angle of the car seat so that my baby sits at a 90-degre angle
• I will place the shoulder harness slightly below my baby’s shoulders
❖ A nurse is monitoring a newborn whose mother reports recent opiate use for neonatal
abstinence syndrome. Which of the following findings indicates narcotic withdrawl? •
Excessive Crying
• Unequal pupils
• Respiratory rate of 50/min
• Hypotonia
❖ A nurse is assessing the reflexes of a term newborn. After placing the newborn in the supine
position, which of the following methods should the nurse use to elicit the Moro reflex?
• Make a loud noise above the newborn
• Touch the newborn’s cheek with a finger
• Turn the newborn’s head to one side
• Tap the newborn’s forehead with a finger
❖ A nurse is providing teaching to a client who is postpartum about her car seat safety. Which
of the following statements by the client indicates an understanding of the teaching?
• I will ensure that my baby is at a 45-degree angle in the car seat
• I will put my baby facing forward in the middle of the back seat of the car
• I will fasten the harness clip 1 inch above my baby’s underarms
• I will swaddle my baby in a blanket before placing her in the car seat
❖ A nurse is teaching a client who is breastfeeding and has mastitis. Which of the following
statements by the client indicates an understanding of the teaching?
• I should apply a warm compress after feeding
????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>""
:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
, D447 - Women's and Children's Nursing
????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
20250426143122_680cee3a49fe7_wgu_d447_final_exam.docx9/28/2026, 7:44:17 AM//////////////////////////////////////////////////////////////???????????????????????????????
• I should apply lanolin to the infection site daily
• I should use a nipple shield while breastfeeding
• I should stop breastfeeding until the infection has healed
❖ A nurse is caring for a client following a vaginal delivery of a term fetal demise. Which of the
following statements should the nurse make?
• You can bathe and dress your baby if you’d like to
• You should name the baby so he can have an identity
• If you don’t hold the baby, it will make letting go much harder
• Im sure you will be able to have another baby when you’re ready
❖ A nurse is performing an initial assessment of a newborn who was delivered with a nuchal
cord. Which of the following clinical findings should the nurse expect?
• Facial petechiae
• Erythema toxicum
• Periauricular papillomas
• Telangilectatic nevi
❖ A charge nurse is discussing STIs with a newly licensed nurse. Which of the following
infections should the nurse include in the teaching as an indication for a cesarean birth?
• HIV
• Chlamydia
????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>>""
:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
, D447 - Women's and Children's Nursing
????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<<<<<<<<<<<<<<<<<<<<>>>>>>>>>>>>>>>>>>>>>>>>>>>>>
:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
20250426143122_680cee3a49fe7_wgu_d447_final_exam.docx9/28/2026, 7:44:17 AM//////////////////////////////////////////////////////////////???????????????????????????????
• Gonorrhea
• Syphilis
❖ A nurse is reviewing the medication prescriptions for a newborn who is 6 hours old and
whose mother is HBsAg-positive. The nurse should anticipate administering which of the
following medications?
• Hepatitis B Immune Globulin
• Hepatitis A immune globulin
• Haemophilus inflenzae type B vaccine
• Hepatitis A vaccine
❖ A nurse is assessing a client immediately following the placement of an epidural. The nurse
obtains a maternal blood pressure of 96/54 and a fetal HR of 102/min. Which of the following
actions should the nurse take?
• Position the client in a lateral position
• OR administer naloxone to the client???
• Prepare the client for an amnioinfusion
• Place the client in knee-chest position
❖ A nurse is planning care for a full-term newborn who is receiving phototherapy. Which of the
following actions should the nurse include in the plan of care?
• Avoid using lotion or ointment on the newborn’s skin
• Dress the newborn in lightweight clothing
• Keep the newborn supine throughout treatment
• Measure the newborn’s temperature every 8 hours
❖ A nurse on the labor and delivery unit is caring for a client who is at 33 weeks of gestation
and was admitted with placenta previa. Which of the following interventions should the
nruse include in the client’s plan of care?
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:17 AM//////////////////////////////////////////////////////////////?????????????????????????????????????????????????????????????>>>>>>>>>>>>>>>>>>>>>>>>>>>>>><<<<<<<<<
