WGU D120 OBJECTIVE ASSESSMENT ACTUAL EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS LATEST VERSION

WGU D120 OBJECTIVE ASSESSMENT ACTUAL EXAM STUDY GUIDE 2025/2026 COMPLETE QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES || 100% GUARANTEED PASS LATEST VERSION 1. When does the neural tube develop in a fetus? - ANSWER 26-28 days 2. Folic acid dose for preconception - ANSWER mcg/day 1-3 months prior to conception and for first trimester 3. Goodell sign - ANSWER softening of the cervix during pregnancy 4. Chadwick sign - ANSWER Bluish discoloration of cervix during pregnancy 5. Hegar sign - ANSWER Compressibility of the cervical isthmus on bimanual exam during pregnancy 6. What test confirms intrauterine pregnancy? - ANSWER Ultrasound 7. Naegele's Rule - ANSWER Due date = LMP-3 months + 7 days 8. Gold standard for determining gestational age - ANSWER Ultrasound 9. Approved medication for morning sickness - ANSWER Diclegis (combines doxylamine succinate 10mg with pyrdoxine 10mg) 10. Antibiotics to avoid during pregnancy - ANSWER -Sulfonamides -Aminoglycosides -Fluoroquinolones -Erythromycin -Metronidazole -Tetracyclines -Ribavirin (antiviral) -Griseofulvin (antifungal) -Chloramphenicol and Clarithromycin (SAFE Moms Take Really Good Care) 11. Vaccinations to avoid in pregnancy - ANSWER MMR Varicella Flu Mist 12. Signs of ectopic pregnancy - ANSWER Lower abdominal pain (unilateral) 6-8 weeks after LPM, vaginal bleeding, low-grade fever. Quantitative hCG does not double every 24-72 hours 13. Risk factors for ectopic pregnancy - ANSWER tubal pathology or prior surgery, previous cervicitis 14. BP diagnosis for pre-eclampsia - ANSWER Greater than 140/90 x2 occasions AND one of the following: Proteinuria Platelet count 100,000 Creatinine 1.1 Doubled liver enzymes Pulmonary edema New-onset persistent headache Visual symptoms (blurred vision, flashing lights) 15. Antihypertensives during pregnancy - ANSWER YES -labetalol -methyldopa -nifedipine -hydralazine*** NO -ace inhibitors -ARBs (Angiotensin receptor blockers) 16. First prenatal visit diagnostic testing - ANSWER CBC - screen for microcytic anemia UA - check for bacteria, protein, glucose Blood, Rh type, antibody screen - screen for incompatibility STI screen - screen for STI Rubella titer - assess immunity (vaccinate after delivery) TSH if symptoms, personal or family history, or other risk factors. Untreated hypothyroidism may delay neurologic development. 17. STI testing CDC guidelines in pregnancy - ANSWER Syphilis - first trimester HIV - first and third trimester Chlamydia - younger than 25 yo GC - if high risk or younger than 25 yo Hepatitis - A, B, C per risk BV, trichomoniasis - consider screening HSV type 2 - if high risk or symptomatic 18. Schedule of visits in uncomplicated pregnancy - ANSWER Every four weeks until 28 weeks Every two weeks from 28-36 weeks Every week after 36 weeks 19. Genetic quad screening - ANSWER 15 - 22 weeks 20. Anatomy Ultrasound - ANSWER 18 - 22 weeks 21. An advanced practice registered nurse (APRN) is caring for an intrapartum patient with magnesium sulfate intravenously infusing. The APRN notes that the patient is more somnolent and has patellar reflexes +1 and a serum magnesium sulfate level of 10.8 mg/dL. Which plan of care should the APRN initiate? Increase the magnesium sulfate infusion rate Administer calcium gluconate 10 ml Administer hydralazine 5 mg IV Increase the oxytocin infusion rate - ANSWER B 22. An advanced practice registered nurse (APRN) is seeing a patient with preeclampsia who has recently developed grand mal seizures. Which diagnosis should the APRN make for this presenting condition? Eclampsia Gestational diabetes Preeclampsia with gestational diabetes Chronic hypertension with superimposed preeclampsia - ANSWER A 23. A patient in her last trimester of pregnancy is being seen by an advanced practice registered nurse (APRN) for cold symptoms. The patient discusses the over-the-counter (OTC) medications she uses at home. The APRN notes that the patient has a history of mild hypertension that began two months earlier and decides to provide education on which OTC should be avoided during pregnancy. Which OTC medication should be of concern under these conditions? Pseudoephedrine Guaifenesin Loratadine Dextromethorphan - ANSWER A 24. A six-week postpartum, lactating mother presents to the clinic with complaints of headaches. The advanced practice registered nurse (APRN) notes that the patient has poor posture while nursing her infant and suggests using a support pillow and starting an analgesic. Which analgesic should the APRN prescribe for this patient? Oxycodone Aspirin Acetaminophen Tramadol - ANSWER C 25. An advanced practice registered nurse (APRN) examines a patient who is four-weeks postpartum. The patient is complaining of low-grade fever, chills, and a right breast that is red, indurated, and painful. Which action should the APRN take to assist this patient? Recommend aspirin with limited breastfeeding to the right side Prescribe dicloxacillin 500 mg orally every six hours for 7-10 days Stop lactation immediately and collect blood cultures Order penicillin G 5 million units IM and then an oral ampicillin for 10 days 22 - ANSWER B