Page 1 of 123
WGU D120 OA Exam (2 VERSIONS) ALL 350
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
At an initial prenatal visit occurring in the first trimester, which blood test is NOT
recommended?
Antibody screen
Rubella
Maternal serum alpha-fetoprotein
Hepatitis B surface antigen
Maternal serum alpha-fetoprotein;
Routine laboratory tests include CBC, blood type and Rh, antibody screen, HBSAg, syphilis
screen, and rubella immune titer. The MSAFP is done between 15 and 20 weeks and is time-
sensitive.
The FNP teaches a prenatal patient that a significant source of toxoplasmosis is:
Rare red meat
Fresh fruits
1
, Page 2 of 123
Raw oysters
Raw vegetables
Undercooked red meat is a major source of toxoplasmosis. Pregnant women should be
cautioned against eating undercooked meats. Cats are also known to be hosts. Toxoplasmosis is
spread through cat feces. Pregnant women should be educated about not cleaning the litter
box and about avoiding contaminated soil
The FNP would note which finding as a possible sign of preeclampsia?
Urinary urgency at night
Edema in all extremities and a puffy face
Stomach cramps
Clear fluid discharge from the nipples
Edema in all extremities and a puffy face;
Classic signs of pre-eclampsia are hypertension and proteinuria. Generalized edema of the
extremities and around the face occurs due to increased permeability and capillary leakage.
Which is an abnormal complaint in the second trimester of pregnancy?
Frequent uterine contractions
Frequent fetal movement
2
, Page 3 of 123
Calf cramps
Heartburn
Frequent uterine contractions;
Contractions can represent preterm labor and should always be evaluated to rule out early
cervical change.
Which is an abnormal complaint in the third trimester of pregnancy?
leukorrhea
headache with blurred vision
urinary frequency
uterine contractions
headache with blurred vision;
Headache associated with visual changes can represent early symptoms of pre-eclampsia and
warrants further evaluation.
The FNP is assessing a patient who has a positive pregnancy test. Laboratory data indicate
that the mother's blood type is O positive and the father's blood type is AB negative. What
risk is associated with this pregnancy?
The mother may build up antibodies to the infants blood if the infant is blood type B, which
will be significant in future pregnancies.
3
, Page 4 of 123
The mother is Rh positive, if the infant is Rh negative, there is an increased incidence of the
infant building up antibodies.
Because the mother is O and the father is AB, there is an increased risk of ABO incompatibility
leading to jaundice in the newborn.
Type O blood is the dominant characteristic. The baby's blood type will be O and there are no
associated risks.
Because the mother is O and the father is AB, there is an increased risk of ABO incompatibility
leading to jaundice in the newborn.;
There is an increased risk of ABO incompatibility if the mother is type O and the father is AB, A,
or B.
A young adult female, G2P1A0L1, 10 weeks gestation with intrauterine pregnancy is seen for
her first intake and history visit. She knows when she conceived and denies any vaginal
bleeding or abdominal pain. The patient has a soft, non-tender fundus that measures 14cm;
adnexal exam negative for masses or tenderness, no FHR audible with doppler. What is the
most likely diagnosis seen on ultrasound?
Multiple gestation
4
WGU D120 OA Exam (2 VERSIONS) ALL 350
QUESTIONS AND CORRECT ANSWERS LATEST
UPDATE THIS YEAR
At an initial prenatal visit occurring in the first trimester, which blood test is NOT
recommended?
Antibody screen
Rubella
Maternal serum alpha-fetoprotein
Hepatitis B surface antigen
Maternal serum alpha-fetoprotein;
Routine laboratory tests include CBC, blood type and Rh, antibody screen, HBSAg, syphilis
screen, and rubella immune titer. The MSAFP is done between 15 and 20 weeks and is time-
sensitive.
The FNP teaches a prenatal patient that a significant source of toxoplasmosis is:
Rare red meat
Fresh fruits
1
, Page 2 of 123
Raw oysters
Raw vegetables
Undercooked red meat is a major source of toxoplasmosis. Pregnant women should be
cautioned against eating undercooked meats. Cats are also known to be hosts. Toxoplasmosis is
spread through cat feces. Pregnant women should be educated about not cleaning the litter
box and about avoiding contaminated soil
The FNP would note which finding as a possible sign of preeclampsia?
Urinary urgency at night
Edema in all extremities and a puffy face
Stomach cramps
Clear fluid discharge from the nipples
Edema in all extremities and a puffy face;
Classic signs of pre-eclampsia are hypertension and proteinuria. Generalized edema of the
extremities and around the face occurs due to increased permeability and capillary leakage.
Which is an abnormal complaint in the second trimester of pregnancy?
Frequent uterine contractions
Frequent fetal movement
2
, Page 3 of 123
Calf cramps
Heartburn
Frequent uterine contractions;
Contractions can represent preterm labor and should always be evaluated to rule out early
cervical change.
Which is an abnormal complaint in the third trimester of pregnancy?
leukorrhea
headache with blurred vision
urinary frequency
uterine contractions
headache with blurred vision;
Headache associated with visual changes can represent early symptoms of pre-eclampsia and
warrants further evaluation.
The FNP is assessing a patient who has a positive pregnancy test. Laboratory data indicate
that the mother's blood type is O positive and the father's blood type is AB negative. What
risk is associated with this pregnancy?
The mother may build up antibodies to the infants blood if the infant is blood type B, which
will be significant in future pregnancies.
3
, Page 4 of 123
The mother is Rh positive, if the infant is Rh negative, there is an increased incidence of the
infant building up antibodies.
Because the mother is O and the father is AB, there is an increased risk of ABO incompatibility
leading to jaundice in the newborn.
Type O blood is the dominant characteristic. The baby's blood type will be O and there are no
associated risks.
Because the mother is O and the father is AB, there is an increased risk of ABO incompatibility
leading to jaundice in the newborn.;
There is an increased risk of ABO incompatibility if the mother is type O and the father is AB, A,
or B.
A young adult female, G2P1A0L1, 10 weeks gestation with intrauterine pregnancy is seen for
her first intake and history visit. She knows when she conceived and denies any vaginal
bleeding or abdominal pain. The patient has a soft, non-tender fundus that measures 14cm;
adnexal exam negative for masses or tenderness, no FHR audible with doppler. What is the
most likely diagnosis seen on ultrasound?
Multiple gestation
4
