WGU D119 PEDS EXAM QUESTIONS & ANSWERS
WGU D119
2026-2027
PEDS EXAM QUESTIONS & ANSWERS 2026-2027
WGU D119 PEDS EXAM QUESTIONS &
ANSWERS 2026/2027
Which of the following children requires a language referral for further evaluation? -
ACCURATE ANSWERS✔✔ 2 year old who cannot put two words together
While evaluating a three-day-old infant, the FNP turns the infant on the side to examine the back
and notes a sharp line of demarcation dividing the upper and lower parts of the body. The
dependent half is bright red and the superior half is pale. The etiology of this phenomenon is: -
ACCURATE ANSWERS✔✔ An immature autonomic regulatory system, generally referred to as
the "Harlequin" sign
The FNP is measuring a newborn's frontal occipital circumference. What does the correct
technique involve? - ACCURATE ANSWERS✔✔ Placing the paper tape measure at the frontal-
occipital prominence and just above the eyebrows
The FNP notes an undescended testicle on a newborn. She understands that testicular function
and ability to produce healthy sperm as an adult may be impaired if the repair is not made by
age: - ACCURATE ANSWERS✔✔ 1 year
The FNP is examining a full-term infant who developed physiologic jaundice and is being
treated with phototherapy. What is the mechanism of action of phototherapy in the treatment of
this infant? - ACCURATE ANSWERS✔✔ The light is absorbed by bilirubin and promotes the
conversion of a toxic bilirubin to and unconjugated product that can be excreted in the bile
Which newborn screening tests are mandatory State requirements? - ACCURATE
ANSWERS✔✔ Thyroid function tests & Phenylketonuria (PKU)
Page 1 WGU D119 PEDS EXAM QUESTIONS & ANSWERS 2026-2027.pdf
,WGU D119 PEDS EXAM QUESTIONS & ANSWERS
WGU D119
2026-2027
PEDS EXAM QUESTIONS & ANSWERS 2026-2027
The FNP is assessing an infant that was delivered by cesarean section. What is a complication
frequently associated with cesarean delivery? - ACCURATE ANSWERS✔✔ Respiratory distress
The FNP is performing a newborn assessment on a full-term infant approximately 6 hours after
birth. When evaluating the infant's head, the FNP identifies an edematous area that crosses the
cranial suture lines, is soft, and varies with size. The cranial suture lines have minimal space
between them. What is the interpretation of these findings? - ACCURATE ANSWERS✔✔ A
caput succedaneum is present
A typically developing 6-month-old would be expected to: - ACCURATE ANSWERS✔✔ Laugh
and play a clapping game
Which of the following is the leading cause of nonfatal injury in children? - ACCURATE
ANSWERS✔✔ Falls
Which of the following is the MOST appropriate intervention for 2-year-old patient who has not
received the MMR vaccine? - ACCURATE ANSWERS✔✔ Administer two doses 4 weeks apart
The parent of a newborn infant asks the Family nurse practitioner when to intervene to help the
infant's future intellectual growth. What will the nurse practitioner tell the parent? - ACCURATE
ANSWERS✔✔ language and literacy skills begin at birth
The FNP performs a well-baby examination on a 7-day-old infant who is nursing well, according
to the mother. The FNP notes that the infant weighed 3250 grams at birth and 2990 grams when
discharged on the second day of life. The infant weighs 3080 grams at this visit. Which action is
correct? - ACCURATE ANSWERS✔✔ Schedule a weight check in 1 week
During an assessment of a 4-week-old infant, the FNP learns that a breastfed infant nurses every
2 hours during the day but is able to sleep for a 4-hour period during the night. The infant has
gained 20 grams per day in the interval since last seen in the clinic. What will the FNP
recommend? - ACCURATE ANSWERS✔✔ Continuing to nurse the infant using the current
pattern
Page 2 WGU D119 PEDS EXAM QUESTIONS & ANSWERS 2026-2027.pdf
,WGU D119 PEDS EXAM QUESTIONS & ANSWERS
WGU D119
2026-2027
PEDS EXAM QUESTIONS & ANSWERS 2026-2027
The FNP is performing a well-baby examination on a 2-month-old infant who has gained 25
grams per day in the last interval. The mother is nursing and tells the nurse practitioner that her
infant seems fussy and wants to nurse more often. What will the FNP tell her? - ACCURATE
ANSWERS✔✔ The infant may be going through an expected growth spurt
The mother of a 6-week-old breastfeeding infant tells the FNP that her baby, who previously had
bowel movements with each feeding, now has a bowel movement once every second day. What
will the FNP tell her? - ACCURATE ANSWERS✔✔ This may be normal for breast feeding
babies
The parent of a 5-month-old is worried because the infant becomes fussy but doesn't always
seem interested in nursing. What will the nurse practitioner tell this parent? - ACCURATE
ANSWERS✔✔ The infant may be expressing a desire to play or to rest
The mother of a 6-month-old infant is distressed because the infant can say "dada" but not
"mama" and asks the Family nurse practitioner why this is when she is the one who spends more
time with the infant. How will the FNP respond? - ACCURATE ANSWERS✔✔ "At this age,
your baby does not understand the meaning of sounds."
The FNP is performing a well-child examination on an 8-month-old infant whose hearing is
normal but who responds to verbal cues with only single-syllable vocalizations. What will the
FNP recommend to the parents to improve speech and language skills in this infant? -
ACCURATE ANSWERS✔✔ Read simple board books to the infant at bedtime.
TheFNP is evaluating a 2-year-old with a documented speech delay. Screenings to assess motor
skills and cognition are normal, and the child passed a recent hearing test. What will the pediatric
FNP do next? - ACCURATE ANSWERS✔✔ Ask the child's parents whether they read to the
child
During a well-child assessment of an 18-month-old child, the Family nurse practitioner observes
the child point to a picture of a dog and say, "Want puppy!" The FNP recognizes this as an
example of what type of speech? - ACCURATE ANSWERS✔✔ Telegraphic
Page 3 WGU D119 PEDS EXAM QUESTIONS & ANSWERS 2026-2027.pdf
, WGU D119 PEDS EXAM QUESTIONS & ANSWERS
WGU D119
2026-2027
PEDS EXAM QUESTIONS & ANSWERS 2026-2027
The FNP is offering anticipatory guidance to the parents of a 12-month-old child. The parents are
bilingual in Spanish and English and have many Spanish-speaking relatives nearby. They are
resisting exposing the child to Spanish out of concern that the child will not learn English well.
What will the pediatric FNP tell the parents? - ACCURATE ANSWERS✔✔ Most bilingual
children are able to shift from one language to another when appropriate
The parent of a 24-month-old child asks the FNP when toilet training should begin. How will the
pediatric FNP respond? - ACCURATE ANSWERS✔✔ "Tell me about your child's daily habits"
The FNP performs a physical examination on a 9-month-old infant and notes two central incisors
on the lower gums. The parent states that the infant nurses, take solid foods three times daily, and
occasionally take water from a cup. What will the pediatric FNP counsel the parent to promote
optimum dental health? - ACCURATE ANSWERS✔✔ To make an appointment for an initial
dental examination
During a well-child visit, a mother expressed concern that her three-year-old has recently started
to stutter when excited. The FNP informs the mother that stuttering in a preschool-age child: -
ACCURATE ANSWERS✔✔ Is a normal characteristic of language development
The FNP examines a three-year-old patient who underwent a myringotomy 4 months ago. 65%
of the child's speech remains unintelligible. The FNP's response is to: - ACCURATE
ANSWERS✔✔ Interpret the patient's speech performance against expected standards and
recommend a referral to an audiologist
The FNP performs a developmental assessment on a 32-month-old child. The child's parent
reports that about 70% of the child's speech is intelligible. The pediatric nurse practitioner
observes that the child has difficulty pronouncing "t," "d," "k," and "g" sounds. Which action is
correct? - ACCURATE ANSWERS✔✔ Reassure the parent that this is normal
The FNP is counseling the parents of a toddler about appropriate discipline. The parents report
that the child is very active and curious, and they are worried about the potential for injury. What
Page 4 WGU D119 PEDS EXAM QUESTIONS & ANSWERS 2026-2027.pdf
WGU D119
2026-2027
PEDS EXAM QUESTIONS & ANSWERS 2026-2027
WGU D119 PEDS EXAM QUESTIONS &
ANSWERS 2026/2027
Which of the following children requires a language referral for further evaluation? -
ACCURATE ANSWERS✔✔ 2 year old who cannot put two words together
While evaluating a three-day-old infant, the FNP turns the infant on the side to examine the back
and notes a sharp line of demarcation dividing the upper and lower parts of the body. The
dependent half is bright red and the superior half is pale. The etiology of this phenomenon is: -
ACCURATE ANSWERS✔✔ An immature autonomic regulatory system, generally referred to as
the "Harlequin" sign
The FNP is measuring a newborn's frontal occipital circumference. What does the correct
technique involve? - ACCURATE ANSWERS✔✔ Placing the paper tape measure at the frontal-
occipital prominence and just above the eyebrows
The FNP notes an undescended testicle on a newborn. She understands that testicular function
and ability to produce healthy sperm as an adult may be impaired if the repair is not made by
age: - ACCURATE ANSWERS✔✔ 1 year
The FNP is examining a full-term infant who developed physiologic jaundice and is being
treated with phototherapy. What is the mechanism of action of phototherapy in the treatment of
this infant? - ACCURATE ANSWERS✔✔ The light is absorbed by bilirubin and promotes the
conversion of a toxic bilirubin to and unconjugated product that can be excreted in the bile
Which newborn screening tests are mandatory State requirements? - ACCURATE
ANSWERS✔✔ Thyroid function tests & Phenylketonuria (PKU)
Page 1 WGU D119 PEDS EXAM QUESTIONS & ANSWERS 2026-2027.pdf
,WGU D119 PEDS EXAM QUESTIONS & ANSWERS
WGU D119
2026-2027
PEDS EXAM QUESTIONS & ANSWERS 2026-2027
The FNP is assessing an infant that was delivered by cesarean section. What is a complication
frequently associated with cesarean delivery? - ACCURATE ANSWERS✔✔ Respiratory distress
The FNP is performing a newborn assessment on a full-term infant approximately 6 hours after
birth. When evaluating the infant's head, the FNP identifies an edematous area that crosses the
cranial suture lines, is soft, and varies with size. The cranial suture lines have minimal space
between them. What is the interpretation of these findings? - ACCURATE ANSWERS✔✔ A
caput succedaneum is present
A typically developing 6-month-old would be expected to: - ACCURATE ANSWERS✔✔ Laugh
and play a clapping game
Which of the following is the leading cause of nonfatal injury in children? - ACCURATE
ANSWERS✔✔ Falls
Which of the following is the MOST appropriate intervention for 2-year-old patient who has not
received the MMR vaccine? - ACCURATE ANSWERS✔✔ Administer two doses 4 weeks apart
The parent of a newborn infant asks the Family nurse practitioner when to intervene to help the
infant's future intellectual growth. What will the nurse practitioner tell the parent? - ACCURATE
ANSWERS✔✔ language and literacy skills begin at birth
The FNP performs a well-baby examination on a 7-day-old infant who is nursing well, according
to the mother. The FNP notes that the infant weighed 3250 grams at birth and 2990 grams when
discharged on the second day of life. The infant weighs 3080 grams at this visit. Which action is
correct? - ACCURATE ANSWERS✔✔ Schedule a weight check in 1 week
During an assessment of a 4-week-old infant, the FNP learns that a breastfed infant nurses every
2 hours during the day but is able to sleep for a 4-hour period during the night. The infant has
gained 20 grams per day in the interval since last seen in the clinic. What will the FNP
recommend? - ACCURATE ANSWERS✔✔ Continuing to nurse the infant using the current
pattern
Page 2 WGU D119 PEDS EXAM QUESTIONS & ANSWERS 2026-2027.pdf
,WGU D119 PEDS EXAM QUESTIONS & ANSWERS
WGU D119
2026-2027
PEDS EXAM QUESTIONS & ANSWERS 2026-2027
The FNP is performing a well-baby examination on a 2-month-old infant who has gained 25
grams per day in the last interval. The mother is nursing and tells the nurse practitioner that her
infant seems fussy and wants to nurse more often. What will the FNP tell her? - ACCURATE
ANSWERS✔✔ The infant may be going through an expected growth spurt
The mother of a 6-week-old breastfeeding infant tells the FNP that her baby, who previously had
bowel movements with each feeding, now has a bowel movement once every second day. What
will the FNP tell her? - ACCURATE ANSWERS✔✔ This may be normal for breast feeding
babies
The parent of a 5-month-old is worried because the infant becomes fussy but doesn't always
seem interested in nursing. What will the nurse practitioner tell this parent? - ACCURATE
ANSWERS✔✔ The infant may be expressing a desire to play or to rest
The mother of a 6-month-old infant is distressed because the infant can say "dada" but not
"mama" and asks the Family nurse practitioner why this is when she is the one who spends more
time with the infant. How will the FNP respond? - ACCURATE ANSWERS✔✔ "At this age,
your baby does not understand the meaning of sounds."
The FNP is performing a well-child examination on an 8-month-old infant whose hearing is
normal but who responds to verbal cues with only single-syllable vocalizations. What will the
FNP recommend to the parents to improve speech and language skills in this infant? -
ACCURATE ANSWERS✔✔ Read simple board books to the infant at bedtime.
TheFNP is evaluating a 2-year-old with a documented speech delay. Screenings to assess motor
skills and cognition are normal, and the child passed a recent hearing test. What will the pediatric
FNP do next? - ACCURATE ANSWERS✔✔ Ask the child's parents whether they read to the
child
During a well-child assessment of an 18-month-old child, the Family nurse practitioner observes
the child point to a picture of a dog and say, "Want puppy!" The FNP recognizes this as an
example of what type of speech? - ACCURATE ANSWERS✔✔ Telegraphic
Page 3 WGU D119 PEDS EXAM QUESTIONS & ANSWERS 2026-2027.pdf
, WGU D119 PEDS EXAM QUESTIONS & ANSWERS
WGU D119
2026-2027
PEDS EXAM QUESTIONS & ANSWERS 2026-2027
The FNP is offering anticipatory guidance to the parents of a 12-month-old child. The parents are
bilingual in Spanish and English and have many Spanish-speaking relatives nearby. They are
resisting exposing the child to Spanish out of concern that the child will not learn English well.
What will the pediatric FNP tell the parents? - ACCURATE ANSWERS✔✔ Most bilingual
children are able to shift from one language to another when appropriate
The parent of a 24-month-old child asks the FNP when toilet training should begin. How will the
pediatric FNP respond? - ACCURATE ANSWERS✔✔ "Tell me about your child's daily habits"
The FNP performs a physical examination on a 9-month-old infant and notes two central incisors
on the lower gums. The parent states that the infant nurses, take solid foods three times daily, and
occasionally take water from a cup. What will the pediatric FNP counsel the parent to promote
optimum dental health? - ACCURATE ANSWERS✔✔ To make an appointment for an initial
dental examination
During a well-child visit, a mother expressed concern that her three-year-old has recently started
to stutter when excited. The FNP informs the mother that stuttering in a preschool-age child: -
ACCURATE ANSWERS✔✔ Is a normal characteristic of language development
The FNP examines a three-year-old patient who underwent a myringotomy 4 months ago. 65%
of the child's speech remains unintelligible. The FNP's response is to: - ACCURATE
ANSWERS✔✔ Interpret the patient's speech performance against expected standards and
recommend a referral to an audiologist
The FNP performs a developmental assessment on a 32-month-old child. The child's parent
reports that about 70% of the child's speech is intelligible. The pediatric nurse practitioner
observes that the child has difficulty pronouncing "t," "d," "k," and "g" sounds. Which action is
correct? - ACCURATE ANSWERS✔✔ Reassure the parent that this is normal
The FNP is counseling the parents of a toddler about appropriate discipline. The parents report
that the child is very active and curious, and they are worried about the potential for injury. What
Page 4 WGU D119 PEDS EXAM QUESTIONS & ANSWERS 2026-2027.pdf
