WGU D120 LEARNING GUIDE 2026
DATABASE CONCEPTS AND DATA
MANAGEMENT BASICS
◉ An advanced practice registered nurse (APRN) is working with an
integrated multidisciplinary team and recognizes that team
processes need to be strengthened. The APRN suggests a strategy to
meet that goal.
Which strategy should the APRN use to meet this goal?
Answer: Instituting clinical case review
◉ BV treatment
Answer: Metronidazole 500mg PO bid x 7 days
Metronidazole gel 0.75% applicator intravaginally qd x 5 days
Clindamycin cream 2%applicator intravaginally qhs x 7 days
◉ Chlamydia treatment
Answer: Doxycycline 100mg bid x 7 days
alternative:
azithromycin 1g po once
or
,levofloxacin 500mg po qd x 7 days
◉ trichomoniasis treatment
Answer: women: metronidazole 500 mg bid x7 days
men: metronidazole 2g po once
◉ How does progesterone affect the GI system during pregnancy?
Answer: Delays gastric emptying time and decreases intestinal
peristalsis;
Progesterone affects the GI system by decreasing smooth muscle
tone, delaying gastric emptying, and decreasing intestinal peristalsis.
◉ During pregnancy, what is estrogen responsible for?
Answer: Hyperpigmentation;
During pregnancy, estrogen is responsible for stimulation of the
melanin-stimulating hormone, resulting in hyperpigmentation. The
other factors are related to progesterone.
◉ What is a positive sign of pregnancy?
Answer: Positive evidence of pregnancy includes fetal heartbeat,
palpation of fetal movement by the provider, and visualization of the
fetus by ultrasonography.
,◉ What are the normal cardiovascular physiologic responses to
pregnancy?
Answer: Increased HR, decreased cardiac output, increased blood
volume, and systolic murmur;
During pregnancy, a hyperdynamic state is caused by an increase in
blood volume, which results in a slightly increased heart rate and
increased cardiac output. Systolic ejection murmurs are common
and are caused by increased flow across the pulmonic and aortic
valves.
◉ During the regular prenatal visits, what assessment data other
than vital signs and weight are determined with each visit?
Answer: Fundal height, fetal heart rate, urine dip for protein and
glucose, and presence of edema
◉ The recommended office visit interval for a low-risk patient at 28
weeks of pregnancy is every:
Answer: 2 weeks until 36 weeks;
The interval for prenatal visits for low-risk women is every 4 weeks
until 28 weeks, every 2 weeks from 28-36 weeks, and weekly after
36 weeks.
◉ At an initial prenatal visit occurring in the first trimester, which
blood test is NOT recommended?
Answer: 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:
Answer: 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?
Answer: 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?
Answer: Frequent uterine contractions;
Contractions can represent preterm labor and should always be
evaluated to rule out early cervical change.
DATABASE CONCEPTS AND DATA
MANAGEMENT BASICS
◉ An advanced practice registered nurse (APRN) is working with an
integrated multidisciplinary team and recognizes that team
processes need to be strengthened. The APRN suggests a strategy to
meet that goal.
Which strategy should the APRN use to meet this goal?
Answer: Instituting clinical case review
◉ BV treatment
Answer: Metronidazole 500mg PO bid x 7 days
Metronidazole gel 0.75% applicator intravaginally qd x 5 days
Clindamycin cream 2%applicator intravaginally qhs x 7 days
◉ Chlamydia treatment
Answer: Doxycycline 100mg bid x 7 days
alternative:
azithromycin 1g po once
or
,levofloxacin 500mg po qd x 7 days
◉ trichomoniasis treatment
Answer: women: metronidazole 500 mg bid x7 days
men: metronidazole 2g po once
◉ How does progesterone affect the GI system during pregnancy?
Answer: Delays gastric emptying time and decreases intestinal
peristalsis;
Progesterone affects the GI system by decreasing smooth muscle
tone, delaying gastric emptying, and decreasing intestinal peristalsis.
◉ During pregnancy, what is estrogen responsible for?
Answer: Hyperpigmentation;
During pregnancy, estrogen is responsible for stimulation of the
melanin-stimulating hormone, resulting in hyperpigmentation. The
other factors are related to progesterone.
◉ What is a positive sign of pregnancy?
Answer: Positive evidence of pregnancy includes fetal heartbeat,
palpation of fetal movement by the provider, and visualization of the
fetus by ultrasonography.
,◉ What are the normal cardiovascular physiologic responses to
pregnancy?
Answer: Increased HR, decreased cardiac output, increased blood
volume, and systolic murmur;
During pregnancy, a hyperdynamic state is caused by an increase in
blood volume, which results in a slightly increased heart rate and
increased cardiac output. Systolic ejection murmurs are common
and are caused by increased flow across the pulmonic and aortic
valves.
◉ During the regular prenatal visits, what assessment data other
than vital signs and weight are determined with each visit?
Answer: Fundal height, fetal heart rate, urine dip for protein and
glucose, and presence of edema
◉ The recommended office visit interval for a low-risk patient at 28
weeks of pregnancy is every:
Answer: 2 weeks until 36 weeks;
The interval for prenatal visits for low-risk women is every 4 weeks
until 28 weeks, every 2 weeks from 28-36 weeks, and weekly after
36 weeks.
◉ At an initial prenatal visit occurring in the first trimester, which
blood test is NOT recommended?
Answer: 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:
Answer: 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?
Answer: 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?
Answer: Frequent uterine contractions;
Contractions can represent preterm labor and should always be
evaluated to rule out early cervical change.
