D447: Women’s & Children’s Health
2026 ACTUAL OA EXAM PREP | 400+ QUESTIONS
Master Obstetrics & Pediatrics Priorities for WGU Success
Obstetrics - FHR Interpretation (VEAL CHOP) QUESTION 1 OF 400
The nurse identifies variable decelerations on the fetal monitor. What is the
physiological cause and the first nursing action?
A. Head compression; document finding
B. Uteroplacental insufficiency; administer oxygen
C. Cord compression; change maternal position
D. Fetal hypoxia; notify the provider for immediate delivery
CORRECT ANSWER: C
Why this is correct: VEAL CHOP mnemonic: Variable = Cord compression. The first action is to
change the mother's position (side-to-side or knee-chest) to relieve pressure on the umbilical cord.
WGU D447 Master Guide (2026) - Page 1
,Obstetrics - Magnesium Sulfate Toxicity QUESTION 2 OF 400
A client with preeclampsia is receiving Magnesium Sulfate. Which assessment
finding requires immediate cessation of the infusion?
A. Urine output of 40 mL/hr
B. Respiratory rate of 9 breaths per minute
C. Presence of 2+ patellar reflexes
D. Feeling of warmth and flushing
CORRECT ANSWER: B
Why this is correct: Magnesium sulfate toxicity causes CNS depression. Signs include respiratory
depression (<12/min), absent DTRs, and decreased urine output (<30mL/hr). A RR of 9 is life-
threatening.
Pediatrics - Pyloric Stenosis QUESTION 3 OF 400
An 4-week-old infant is brought to the clinic with reports of projectile vomiting
after feedings. The nurse palpates an olive-shaped mass in the epigastrium. What
is the priority nursing concern?
A. Altered nutrition: less than body requirements
B. Risk for aspiration
C. Fluid and electrolyte imbalance
D. Acute pain
CORRECT ANSWER: C
Why this is correct: While all are concerns, the most immediate threat from projectile vomiting in
pyloric stenosis is metabolic alkalosis and severe dehydration (Fluid/Electrolyte imbalance).
WGU D447 Master Guide (2026) - Page 2
,Obstetrics - Placenta Previa vs. Abruptio Placentae QUESTION 4 OF 400
A client at 32 weeks gestation presents with sudden onset of painless, bright red
vaginal bleeding. The nurse should suspect which condition?
A. Placental Abruption
B. Placenta Previa
C. Ruptured Ectopic Pregnancy
D. Normal bloody show
CORRECT ANSWER: B
Why this is correct: Placenta Previa is characterized by *painless* bright red bleeding. Abruption is
typically *painful*, dark red bleeding with a board-like/rigid abdomen.
Pediatrics - Developmental Milestones (Toddler) QUESTION 5 OF 400
Which finding during a 24-month-old well-child visit requires further
developmental evaluation?
A. The child cannot hop on one foot
B. The child uses 2-word phrases
C. The child has a vocabulary of only 10 words
D. The child engages in parallel play
CORRECT ANSWER: C
Why this is correct: By 24 months, a child should have a vocabulary of approximately 50-200 words
and use 2-word phrases. Only 10 words is a significant speech delay. Hopping on one foot is a 4-
year-old skill.
WGU D447 Master Guide (2026) - Page 3
, Obstetrics - FHR Interpretation (VEAL CHOP) QUESTION 6 OF 400
The nurse identifies variable decelerations on the fetal monitor. What is the
physiological cause and the first nursing action?
A. Head compression; document finding
B. Uteroplacental insufficiency; administer oxygen
C. Cord compression; change maternal position
D. Fetal hypoxia; notify the provider for immediate delivery
CORRECT ANSWER: C
Why this is correct: VEAL CHOP mnemonic: Variable = Cord compression. The first action is to
change the mother's position (side-to-side or knee-chest) to relieve pressure on the umbilical cord.
Obstetrics - Magnesium Sulfate Toxicity QUESTION 7 OF 400
A client with preeclampsia is receiving Magnesium Sulfate. Which assessment
finding requires immediate cessation of the infusion?
A. Urine output of 40 mL/hr
B. Respiratory rate of 9 breaths per minute
C. Presence of 2+ patellar reflexes
D. Feeling of warmth and flushing
CORRECT ANSWER: B
Why this is correct: Magnesium sulfate toxicity causes CNS depression. Signs include respiratory
depression (<12/min), absent DTRs, and decreased urine output (<30mL/hr). A RR of 9 is life-
threatening.
WGU D447 Master Guide (2026) - Page 4
2026 ACTUAL OA EXAM PREP | 400+ QUESTIONS
Master Obstetrics & Pediatrics Priorities for WGU Success
Obstetrics - FHR Interpretation (VEAL CHOP) QUESTION 1 OF 400
The nurse identifies variable decelerations on the fetal monitor. What is the
physiological cause and the first nursing action?
A. Head compression; document finding
B. Uteroplacental insufficiency; administer oxygen
C. Cord compression; change maternal position
D. Fetal hypoxia; notify the provider for immediate delivery
CORRECT ANSWER: C
Why this is correct: VEAL CHOP mnemonic: Variable = Cord compression. The first action is to
change the mother's position (side-to-side or knee-chest) to relieve pressure on the umbilical cord.
WGU D447 Master Guide (2026) - Page 1
,Obstetrics - Magnesium Sulfate Toxicity QUESTION 2 OF 400
A client with preeclampsia is receiving Magnesium Sulfate. Which assessment
finding requires immediate cessation of the infusion?
A. Urine output of 40 mL/hr
B. Respiratory rate of 9 breaths per minute
C. Presence of 2+ patellar reflexes
D. Feeling of warmth and flushing
CORRECT ANSWER: B
Why this is correct: Magnesium sulfate toxicity causes CNS depression. Signs include respiratory
depression (<12/min), absent DTRs, and decreased urine output (<30mL/hr). A RR of 9 is life-
threatening.
Pediatrics - Pyloric Stenosis QUESTION 3 OF 400
An 4-week-old infant is brought to the clinic with reports of projectile vomiting
after feedings. The nurse palpates an olive-shaped mass in the epigastrium. What
is the priority nursing concern?
A. Altered nutrition: less than body requirements
B. Risk for aspiration
C. Fluid and electrolyte imbalance
D. Acute pain
CORRECT ANSWER: C
Why this is correct: While all are concerns, the most immediate threat from projectile vomiting in
pyloric stenosis is metabolic alkalosis and severe dehydration (Fluid/Electrolyte imbalance).
WGU D447 Master Guide (2026) - Page 2
,Obstetrics - Placenta Previa vs. Abruptio Placentae QUESTION 4 OF 400
A client at 32 weeks gestation presents with sudden onset of painless, bright red
vaginal bleeding. The nurse should suspect which condition?
A. Placental Abruption
B. Placenta Previa
C. Ruptured Ectopic Pregnancy
D. Normal bloody show
CORRECT ANSWER: B
Why this is correct: Placenta Previa is characterized by *painless* bright red bleeding. Abruption is
typically *painful*, dark red bleeding with a board-like/rigid abdomen.
Pediatrics - Developmental Milestones (Toddler) QUESTION 5 OF 400
Which finding during a 24-month-old well-child visit requires further
developmental evaluation?
A. The child cannot hop on one foot
B. The child uses 2-word phrases
C. The child has a vocabulary of only 10 words
D. The child engages in parallel play
CORRECT ANSWER: C
Why this is correct: By 24 months, a child should have a vocabulary of approximately 50-200 words
and use 2-word phrases. Only 10 words is a significant speech delay. Hopping on one foot is a 4-
year-old skill.
WGU D447 Master Guide (2026) - Page 3
, Obstetrics - FHR Interpretation (VEAL CHOP) QUESTION 6 OF 400
The nurse identifies variable decelerations on the fetal monitor. What is the
physiological cause and the first nursing action?
A. Head compression; document finding
B. Uteroplacental insufficiency; administer oxygen
C. Cord compression; change maternal position
D. Fetal hypoxia; notify the provider for immediate delivery
CORRECT ANSWER: C
Why this is correct: VEAL CHOP mnemonic: Variable = Cord compression. The first action is to
change the mother's position (side-to-side or knee-chest) to relieve pressure on the umbilical cord.
Obstetrics - Magnesium Sulfate Toxicity QUESTION 7 OF 400
A client with preeclampsia is receiving Magnesium Sulfate. Which assessment
finding requires immediate cessation of the infusion?
A. Urine output of 40 mL/hr
B. Respiratory rate of 9 breaths per minute
C. Presence of 2+ patellar reflexes
D. Feeling of warmth and flushing
CORRECT ANSWER: B
Why this is correct: Magnesium sulfate toxicity causes CNS depression. Signs include respiratory
depression (<12/min), absent DTRs, and decreased urine output (<30mL/hr). A RR of 9 is life-
threatening.
WGU D447 Master Guide (2026) - Page 4
