6/5/25, 8:43 PM
WGU D447 OA | Objective Assessment | 2 Different Updated Versions | Questions and
Answers | 2025 Update | 100% Correct.
Correct
Incorrect
WGU D447
186 Correct terms
Questions and answers
1 of 186
Term
A client receiving epidural anesthesia begins to experience nausea and
becomes pale and clammy. What intervention should the nurse
implement first?
A. raise the foot of the bed
B. assess for vaginal bleeding
C. evaluate the fetal heart rate
D. take the client's blood pressure
Give this one a go later!
A. come to the clinic today for an ultrasound. Third trimester painless bleeding is
characteristic of a placenta previa. Bright red bleeding may be intermittent, occur in
gushes, or be continuous. Rarely is the first incidence life-threatening, nor cause for
hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound.
,6/5/25, 8:43 PM
B. hyperstimulation. Pitocin causes the uterine myofibril to contract, so unless the
infusion is closely monitored, the client is at risk for hyperstimulation which can lead
to tetanic contractions, uterine rupture, and fetal distress or demise.
C. epigastric pain. Epigastric pain is indicative of an edematous liver or pancreas
which is an early warning sign of an impending convulsion (eclampsia) and requires
immediate attention.
A. raise the foot of the bed. These symptoms are suggestive of hypotension
which is a side effect of epidural anesthesia. Raising the foot of the bed
(Trendelenburg position) will increase venous return and provide blood to the
vital areas.
Don't know?
2 of 186
Term
The nurse observes that an antepartum client who is on bed rest for
preterm labor is eating ice rather than the food on her breakfast tray.
The client states that she has a craving for ice and then feels too full to
eat anything else. Which is the best response by the nurse?
A. Remove all ice from the client's room.
B. Ask the client what foods she might consider eating.
C. Remind the client that what she eats affects her baby.
D. Notify the health care provider.
Give this one a go later!
,6/5/25, 8:43 PM
D.Notify the health care provider.
Rationale: The health care provider should be notified when a client practices
pica (craving for and consumption of nonfood substances). The practice of
pica may displace more nutritious foods from the diet, and the client should
be evaluated for anemia. Option A is overreacting and may be perceived as
punishment by the client. Option B allows the dietary department to customize
the client's tray but fails to address physiologic problems associated with not
consuming nutritious foods in pregnancy. Option C is judgmental and blocks
further communication.
C.Place petroleum ointment around the glans with each diaper change and
cleansing.
Rationale:
With each diaper change, the glans penis should be washed with warm water to
remove any urine or feces, and petroleum ointment should be applied to prevent
the diaper from sticking to the healing surface. Prepackaged wipes often contain
other products that may irritate the site. The yellow exudate, which covers the glans
penis as the area heals and epithelializes, is not an infective process and should not
be removed. If bleeding occurs at home, the client should be instructed to apply
gentle pressure to the site of the bleeding with sterile gauze squares and call the
health care provider.
C. a sterile glove
D. an amniotic hook
F. a Doppler
Don't know?
3 of 186
Term
A woman who had a miscarriage 6 months ago becomes pregnant.
Which instruction is most important is most important for the nurse to
provide this client?
a. Elevate lower legs while resting
b. Increase caloric intake by 200 to 300 calories per day
c. Increase water intake to 8 full glasses per day
, 6/5/25, 8:43 PM
1. reposition the client
2. increase the IV fluid
3. provide oxygen via face mask
4. call the healthcare provider.
take prescribed multivitamin and mineral supplements
d. Take prescribed multivitamin and mineral supplements
A client who has had a spontaneous abortion or still birth in the last 1.5 years
should take multivitamin and mineral supplements (D) and maintain a balanced
diet because the previous pregnancy may have left her nutritionally depleted.
d. It is important that you want to take part in your care
The emphasis of alternative and complementary therapies, such as herbal therapy, is
that the client is viewed as a whole being, capable of decision-making and an
integral part of the health care team, so (D) recognizes the client's request.
Don't know?
4 of 186
Term
The nurse is providing discharge for a client who is 24 hours
postpartum. The nurse explains to the client that her vaginal discharge
will change from red to pink to white. The client asks, "What if I start
having red bleeding after it changes?" What should the nurse instruct
the client to do?
A. reduce activity level and notify the healthcare provider
B. go to bed and assume a knee-chest position
C. massage the uterus and go to the emergency room
d. do not worry as this is a normal occurance
WGU D447 OA | Objective Assessment | 2 Different Updated Versions | Questions and
Answers | 2025 Update | 100% Correct.
Correct
Incorrect
WGU D447
186 Correct terms
Questions and answers
1 of 186
Term
A client receiving epidural anesthesia begins to experience nausea and
becomes pale and clammy. What intervention should the nurse
implement first?
A. raise the foot of the bed
B. assess for vaginal bleeding
C. evaluate the fetal heart rate
D. take the client's blood pressure
Give this one a go later!
A. come to the clinic today for an ultrasound. Third trimester painless bleeding is
characteristic of a placenta previa. Bright red bleeding may be intermittent, occur in
gushes, or be continuous. Rarely is the first incidence life-threatening, nor cause for
hypovolemic shock. Diagnosis is confirmed by transabdominal ultrasound.
,6/5/25, 8:43 PM
B. hyperstimulation. Pitocin causes the uterine myofibril to contract, so unless the
infusion is closely monitored, the client is at risk for hyperstimulation which can lead
to tetanic contractions, uterine rupture, and fetal distress or demise.
C. epigastric pain. Epigastric pain is indicative of an edematous liver or pancreas
which is an early warning sign of an impending convulsion (eclampsia) and requires
immediate attention.
A. raise the foot of the bed. These symptoms are suggestive of hypotension
which is a side effect of epidural anesthesia. Raising the foot of the bed
(Trendelenburg position) will increase venous return and provide blood to the
vital areas.
Don't know?
2 of 186
Term
The nurse observes that an antepartum client who is on bed rest for
preterm labor is eating ice rather than the food on her breakfast tray.
The client states that she has a craving for ice and then feels too full to
eat anything else. Which is the best response by the nurse?
A. Remove all ice from the client's room.
B. Ask the client what foods she might consider eating.
C. Remind the client that what she eats affects her baby.
D. Notify the health care provider.
Give this one a go later!
,6/5/25, 8:43 PM
D.Notify the health care provider.
Rationale: The health care provider should be notified when a client practices
pica (craving for and consumption of nonfood substances). The practice of
pica may displace more nutritious foods from the diet, and the client should
be evaluated for anemia. Option A is overreacting and may be perceived as
punishment by the client. Option B allows the dietary department to customize
the client's tray but fails to address physiologic problems associated with not
consuming nutritious foods in pregnancy. Option C is judgmental and blocks
further communication.
C.Place petroleum ointment around the glans with each diaper change and
cleansing.
Rationale:
With each diaper change, the glans penis should be washed with warm water to
remove any urine or feces, and petroleum ointment should be applied to prevent
the diaper from sticking to the healing surface. Prepackaged wipes often contain
other products that may irritate the site. The yellow exudate, which covers the glans
penis as the area heals and epithelializes, is not an infective process and should not
be removed. If bleeding occurs at home, the client should be instructed to apply
gentle pressure to the site of the bleeding with sterile gauze squares and call the
health care provider.
C. a sterile glove
D. an amniotic hook
F. a Doppler
Don't know?
3 of 186
Term
A woman who had a miscarriage 6 months ago becomes pregnant.
Which instruction is most important is most important for the nurse to
provide this client?
a. Elevate lower legs while resting
b. Increase caloric intake by 200 to 300 calories per day
c. Increase water intake to 8 full glasses per day
, 6/5/25, 8:43 PM
1. reposition the client
2. increase the IV fluid
3. provide oxygen via face mask
4. call the healthcare provider.
take prescribed multivitamin and mineral supplements
d. Take prescribed multivitamin and mineral supplements
A client who has had a spontaneous abortion or still birth in the last 1.5 years
should take multivitamin and mineral supplements (D) and maintain a balanced
diet because the previous pregnancy may have left her nutritionally depleted.
d. It is important that you want to take part in your care
The emphasis of alternative and complementary therapies, such as herbal therapy, is
that the client is viewed as a whole being, capable of decision-making and an
integral part of the health care team, so (D) recognizes the client's request.
Don't know?
4 of 186
Term
The nurse is providing discharge for a client who is 24 hours
postpartum. The nurse explains to the client that her vaginal discharge
will change from red to pink to white. The client asks, "What if I start
having red bleeding after it changes?" What should the nurse instruct
the client to do?
A. reduce activity level and notify the healthcare provider
B. go to bed and assume a knee-chest position
C. massage the uterus and go to the emergency room
d. do not worry as this is a normal occurance
