WGU D447 Women’s and Children’s Nursing
Objective Assessment -Solved
1. A pregnant client at 34 weeks' gestation reports painless, bright-red vaginal
bleeding. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Ectopic pregnancy
D. Uterine rupture
2. A client receiving magnesium sulfate for severe preeclampsia has absent deep-
tendon reflexes and a respiratory rate of 10/min. Which medication should the
nurse prepare to administer?
A. Oxytocin
B. Calcium gluconate
C. Methylergonovine
D. Terbutaline
3. Which finding is most concerning in a client with preeclampsia?
A. Mild ankle edema
B. Urinary frequency
C. Persistent severe headache and visual disturbances
D. Increased appetite
4. A postpartum client has a boggy uterus and heavy vaginal bleeding. What should
the nurse do first?
A. Notify the provider
B. Administer oxygen
C. Massage the uterine fundus
D. Obtain a hemoglobin level
5. Which finding is expected during a normal postpartum uterine involution?
A. Fundus remains permanently at the umbilicus
B. Fundus gradually descends each day
C. Fundus becomes increasingly soft
D. Lochia becomes heavier each day
6. A postpartum client has unilateral calf swelling, warmth, and tenderness. Which
complication should the nurse suspect?
,A. Endometritis
B. Mastitis
C. Deep-vein thrombosis
D. Cystitis
7. Which intervention is appropriate for a newborn immediately after birth to reduce
heat loss?
A. Bathe the newborn immediately
B. Place the newborn under a fan
C. Dry the newborn thoroughly and remove wet linens
D. Delay skin-to-skin contact
8. Which assessment finding is characteristic of a healthy term newborn?
A. Central cyanosis
B. Heart rate of 40/min
C. Respiratory rate of 30–60/min
D. Persistent nasal flaring
9. A newborn of a client with diabetes is at increased risk for which complication?
A. Hypoglycemia
B. Hypercalcemia
C. Hypothermia only
D. Hypernatremia
10. Which newborn finding requires immediate nursing intervention?
A. Acrocyanosis during the first hours after birth
B. Respiratory rate of 45/min
C. Central cyanosis
D. Sneezing occasionally
11. A newborn is prescribed erythromycin ophthalmic ointment. What is the
primary purpose of this medication?
A. Prevent neonatal hypoglycemia
B. Prevent ophthalmia neonatorum
C. Treat neonatal jaundice
D. Prevent respiratory distress
12. Which finding indicates that a newborn is likely receiving adequate breast milk?
A. Fewer wet diapers over time
B. Consistent weight loss after the first month
C. Appropriate urine output and expected weight gain
, D. Persistent lethargy after feedings
13. A breastfeeding client reports nipple pain. Which teaching should the nurse
provide?
A. Limit each feeding to one minute
B. Ensure the infant has a deep latch
C. Clean the nipples with alcohol after every feeding
D. Stop breastfeeding permanently
14. Which postpartum finding is most consistent with endometritis?
A. Foul-smelling lochia and fever
B. Increased appetite
C. Clear urine
D. Mild breast fullness
15. A client who is Rh-negative delivers an Rh-positive newborn. Which medication
may be prescribed to prevent Rh sensitization?
A. Oxytocin
B. Rho(D) immune globulin
C. Magnesium sulfate
D. Betamethasone
16. Which statement about Rho(D) immune globulin is correct?
A. It destroys antibodies in the newborn
B. It prevents Rh-negative mothers from forming Rh antibodies
C. It treats neonatal jaundice
D. It induces labor
17. A client receiving oxytocin during labor develops recurrent late fetal heart-rate
decelerations. What is the nurse's priority action?
A. Increase the oxytocin infusion
B. Reposition the client and discontinue oxytocin
C. Encourage pushing
D. Administer another dose of oxytocin
18. Which fetal heart-rate pattern is most associated with uteroplacental
insufficiency?
A. Early decelerations
B. Late decelerations
C. Accelerations
D. Moderate variability
Objective Assessment -Solved
1. A pregnant client at 34 weeks' gestation reports painless, bright-red vaginal
bleeding. Which condition should the nurse suspect?
A. Placental abruption
B. Placenta previa
C. Ectopic pregnancy
D. Uterine rupture
2. A client receiving magnesium sulfate for severe preeclampsia has absent deep-
tendon reflexes and a respiratory rate of 10/min. Which medication should the
nurse prepare to administer?
A. Oxytocin
B. Calcium gluconate
C. Methylergonovine
D. Terbutaline
3. Which finding is most concerning in a client with preeclampsia?
A. Mild ankle edema
B. Urinary frequency
C. Persistent severe headache and visual disturbances
D. Increased appetite
4. A postpartum client has a boggy uterus and heavy vaginal bleeding. What should
the nurse do first?
A. Notify the provider
B. Administer oxygen
C. Massage the uterine fundus
D. Obtain a hemoglobin level
5. Which finding is expected during a normal postpartum uterine involution?
A. Fundus remains permanently at the umbilicus
B. Fundus gradually descends each day
C. Fundus becomes increasingly soft
D. Lochia becomes heavier each day
6. A postpartum client has unilateral calf swelling, warmth, and tenderness. Which
complication should the nurse suspect?
,A. Endometritis
B. Mastitis
C. Deep-vein thrombosis
D. Cystitis
7. Which intervention is appropriate for a newborn immediately after birth to reduce
heat loss?
A. Bathe the newborn immediately
B. Place the newborn under a fan
C. Dry the newborn thoroughly and remove wet linens
D. Delay skin-to-skin contact
8. Which assessment finding is characteristic of a healthy term newborn?
A. Central cyanosis
B. Heart rate of 40/min
C. Respiratory rate of 30–60/min
D. Persistent nasal flaring
9. A newborn of a client with diabetes is at increased risk for which complication?
A. Hypoglycemia
B. Hypercalcemia
C. Hypothermia only
D. Hypernatremia
10. Which newborn finding requires immediate nursing intervention?
A. Acrocyanosis during the first hours after birth
B. Respiratory rate of 45/min
C. Central cyanosis
D. Sneezing occasionally
11. A newborn is prescribed erythromycin ophthalmic ointment. What is the
primary purpose of this medication?
A. Prevent neonatal hypoglycemia
B. Prevent ophthalmia neonatorum
C. Treat neonatal jaundice
D. Prevent respiratory distress
12. Which finding indicates that a newborn is likely receiving adequate breast milk?
A. Fewer wet diapers over time
B. Consistent weight loss after the first month
C. Appropriate urine output and expected weight gain
, D. Persistent lethargy after feedings
13. A breastfeeding client reports nipple pain. Which teaching should the nurse
provide?
A. Limit each feeding to one minute
B. Ensure the infant has a deep latch
C. Clean the nipples with alcohol after every feeding
D. Stop breastfeeding permanently
14. Which postpartum finding is most consistent with endometritis?
A. Foul-smelling lochia and fever
B. Increased appetite
C. Clear urine
D. Mild breast fullness
15. A client who is Rh-negative delivers an Rh-positive newborn. Which medication
may be prescribed to prevent Rh sensitization?
A. Oxytocin
B. Rho(D) immune globulin
C. Magnesium sulfate
D. Betamethasone
16. Which statement about Rho(D) immune globulin is correct?
A. It destroys antibodies in the newborn
B. It prevents Rh-negative mothers from forming Rh antibodies
C. It treats neonatal jaundice
D. It induces labor
17. A client receiving oxytocin during labor develops recurrent late fetal heart-rate
decelerations. What is the nurse's priority action?
A. Increase the oxytocin infusion
B. Reposition the client and discontinue oxytocin
C. Encourage pushing
D. Administer another dose of oxytocin
18. Which fetal heart-rate pattern is most associated with uteroplacental
insufficiency?
A. Early decelerations
B. Late decelerations
C. Accelerations
D. Moderate variability
