WGU D447
WGU D447 Women’s and Children’s
Exam Questions and Answers 2026
What does "antepartum" mean? (Select all that apply.)
Before childbirth, Conception until labor.Prenatal care focus
A nurse is reviewing the results of a maternal serum alpha-fetoprotein
(MSAFP) test at 16 weeks gestation. The level is elevated. Which actions should
the nurse anticipate? (Select all that apply.)
Schedule an ultrasound. Prepare the client for possible amniocentesis. Inform
the client that neural tube defects are a possible concern.
A pregnant client at 16 weeks undergoes an AFP test. Which result requires
further follow-up?
Low AFP → Possible Down syndrome
High AFP → Possible neural tube defect
Which pregnant client requires RhoGAM(Rh Incompatibility (RhoGAM Necessity)
at 28 weeks?
B (AB- mother, B+ father)
Rh-negative mother + Rh-positive father → Risk for isoimmunization
A nurse is educating an HIV-positive client on pregnancy care. Which statements
are correct? (Select all that apply)
Antiretroviral therapy should be taken daily.A scheduled C-section may be needed
if viral load is high.Newborns require antiretroviral prophylaxis.
A client at 28 weeks has a 1-hour glucose test result of 145 mg/dL. What is the
next step?
Cutoff for 1-hour test = 140 mg/dL → If exceeded, 3-hour GTT(glucose tolerance
test) is required.
Which medications are used to manage preterm labor? (Select all that apply)
Betamethasone,Terbutaline, Magnesium sulfate
WGU D447
,WGU D447
A nurse is administering betamethasone to a pregnant client. What is the purpose
of this medication?
To enhance fetal lung maturity
Which of the following are true about terbutaline? (Select all that apply.)
It is a tocolytic that helps delay preterm labor. It can cause maternal tachycardia
and palpitations.It relaxes the uterine muscles.
A nurse is administering magnesium sulfate(anticonvulsant) to a client at 30
weeks for severe preeclampsia. What is the primary reason for this medication?
To prevent seizures
A nurse is assessing a client receiving magnesium sulfate. Which signs are
indicative of magnesium sulfate toxicity? (Select all that apply.)
Loss of deep tendon reflexes (DTRs). Respiratory rate <12 breaths per
minute. Increased urine output. Decreased level of consciousness (LOC).Serum
magnesium level >8 mg/dL.
A nurse is administering magnesium sulfate to a client with severe preeclampsia.
Which of the following are the primary uses and monitoring considerations for
magnesium sulfate? (Select all that apply.)
Prevents seizures in preeclampsia/eclampsia. Acts as a tocolytic to stop preterm
labor.Causes a decrease in maternal blood pressure.Requires close monitoring
for signs of toxicity, such as respiratory depression.Monitored for loss of deep
tendon reflexes (DTRs) as a sign of toxicity.
A nurse is reviewing the results of a maternal serum alpha-fetoprotein
(MSAFP) test that shows elevated levels. Which actions and considerations should
be taken next? (Select all that apply.)
Perform an ultrasound to assess fetal anatomy and confirm gestational
age. Consider amniocentesis if ultrasound findings are abnormal. Investigate
neural tube defects like spina bifida or anencephaly. Recognize that elevated
AFP does not confirm a diagnosis, further testing is necessary.
A pregnant client tests HIV-positive. Which of the following are appropriate
interventions for managing the pregnancy, labor, and postpartum period? (Select
all that apply.)
WGU D447
,WGU D447
Antiretroviral therapy (ART) should be continued throughout
pregnancy.Cesarean section is recommended if viral load is high.Vaginal
delivery depends on viral load.Baby receives antiretroviral prophylaxis after
birth.Bathing is usually done after the first 24 hours to prevent HIV exposure.No
breastfeeding!
A nurse is providing postpartum care to an HIV-positive mother and her newborn.
Which actions are correct in managing the mother and newborn? (Select all that
apply.)
Continue ART postpartum to reduce viral load.Test the baby for HIV at 2 weeks,
4–6 weeks, and 6 months. Exclusive formula feeding is recommended.
A nurse is caring for an HIV-positive mother and her newborn. Which precautions
should be followed to prevent HIV transmission? SATA
Standard precautions for both mother and baby.Mother should wear gloves
when handling baby’s bodily fluids. Practice good hand hygiene when handling
baby. Baby should receive vaccinations .
Which medications are given to an HIV-positive mother during prenatal
care, labor, and postpartum care? (Select all that apply.
ART to reduce vertical transmission. Zidovudine (AZT) during labor if viral load is
detectable.IV zidovudine if viral load is high during labor. Continue ART
postpartum.
Which statements are true about Zidovudine (AZT)? (Select all that apply.)
treats HIV.Given to HIV-positive mothers during labor to reduce
transmission.Used for post-exposure prophylaxis (PEP).Does not treat bacterial
infections.
Which of the following are important for the diagnosis and management
of gestational diabetes? (Select all that apply.)
A fasting blood glucose level of ≥ 92 mg/dL is a diagnostic criterion for
gestational diabetes.The OGTT is conducted between 24-28 weeks for
diagnosis.Insulin oral hypoglycemic medications may be employed to manage
glucose levels.Hemoglobin Ac is not utilized for diagnosing gestational
diabetes.Postprandial blood glucose should be < 180 mg/dL for a healthy
pregnancy.
WGU D447
, WGU D447
Which of the following insulin or oral hypoglycemic medications are commonly
used to manage gestational diabetes? (Select all that apply.)
Insulin (e.g., regular insulin, NPH). Metformin,Glyburide
Which statements are correct about GPTAL (Gravida, Para, Term, Abortions, and
Living) when documenting pregnancy history? (Select all that apply.)
Gravida = total number of pregnancies.
Para = pregnancies carried to 20+ weeks.
Term = deliveries after 37 weeks.
Abortions = losses before 20 weeks.
Living = current number of living children a mother has..
Which dietary recommendations are important during pregnancy? (Select all that
apply.)
Folic acid is crucial for preventing neural tube defects( anacephaly,spinal bifa)
Extra calories (25-30) support pregnancy growth.
Hydration with 8 cups of water is important.
Protein intake should be higher, not limited.
Dairy can be consumed, unless there's an intolerance.
Which interventions should be followed for a patient with active herpes? (Select
all that apply.)SN: meds with VIR( viruses)
Administer antiviral medication (e.g., acyclovir). Avoid vaginal delivery if lesions
are present. Encourage frequent hand washing to prevent transmission.Provide
emotional support and education on safe sexual practices
Which interventions are important for a pregnant patient with active
herpes? (Select all that apply.)
Administer antiviral medications (e.g., acyclovir). Perform a C-section if lesions
are present. Counsel on risk of transmission to the baby.Breastfeeding is safe if
no lesions are present.Avoid sexual activity during outbreaks.
Which of the following is commonly applied to a newborn's eyes after birth, and
what is its purpose?
WGU D447
WGU D447 Women’s and Children’s
Exam Questions and Answers 2026
What does "antepartum" mean? (Select all that apply.)
Before childbirth, Conception until labor.Prenatal care focus
A nurse is reviewing the results of a maternal serum alpha-fetoprotein
(MSAFP) test at 16 weeks gestation. The level is elevated. Which actions should
the nurse anticipate? (Select all that apply.)
Schedule an ultrasound. Prepare the client for possible amniocentesis. Inform
the client that neural tube defects are a possible concern.
A pregnant client at 16 weeks undergoes an AFP test. Which result requires
further follow-up?
Low AFP → Possible Down syndrome
High AFP → Possible neural tube defect
Which pregnant client requires RhoGAM(Rh Incompatibility (RhoGAM Necessity)
at 28 weeks?
B (AB- mother, B+ father)
Rh-negative mother + Rh-positive father → Risk for isoimmunization
A nurse is educating an HIV-positive client on pregnancy care. Which statements
are correct? (Select all that apply)
Antiretroviral therapy should be taken daily.A scheduled C-section may be needed
if viral load is high.Newborns require antiretroviral prophylaxis.
A client at 28 weeks has a 1-hour glucose test result of 145 mg/dL. What is the
next step?
Cutoff for 1-hour test = 140 mg/dL → If exceeded, 3-hour GTT(glucose tolerance
test) is required.
Which medications are used to manage preterm labor? (Select all that apply)
Betamethasone,Terbutaline, Magnesium sulfate
WGU D447
,WGU D447
A nurse is administering betamethasone to a pregnant client. What is the purpose
of this medication?
To enhance fetal lung maturity
Which of the following are true about terbutaline? (Select all that apply.)
It is a tocolytic that helps delay preterm labor. It can cause maternal tachycardia
and palpitations.It relaxes the uterine muscles.
A nurse is administering magnesium sulfate(anticonvulsant) to a client at 30
weeks for severe preeclampsia. What is the primary reason for this medication?
To prevent seizures
A nurse is assessing a client receiving magnesium sulfate. Which signs are
indicative of magnesium sulfate toxicity? (Select all that apply.)
Loss of deep tendon reflexes (DTRs). Respiratory rate <12 breaths per
minute. Increased urine output. Decreased level of consciousness (LOC).Serum
magnesium level >8 mg/dL.
A nurse is administering magnesium sulfate to a client with severe preeclampsia.
Which of the following are the primary uses and monitoring considerations for
magnesium sulfate? (Select all that apply.)
Prevents seizures in preeclampsia/eclampsia. Acts as a tocolytic to stop preterm
labor.Causes a decrease in maternal blood pressure.Requires close monitoring
for signs of toxicity, such as respiratory depression.Monitored for loss of deep
tendon reflexes (DTRs) as a sign of toxicity.
A nurse is reviewing the results of a maternal serum alpha-fetoprotein
(MSAFP) test that shows elevated levels. Which actions and considerations should
be taken next? (Select all that apply.)
Perform an ultrasound to assess fetal anatomy and confirm gestational
age. Consider amniocentesis if ultrasound findings are abnormal. Investigate
neural tube defects like spina bifida or anencephaly. Recognize that elevated
AFP does not confirm a diagnosis, further testing is necessary.
A pregnant client tests HIV-positive. Which of the following are appropriate
interventions for managing the pregnancy, labor, and postpartum period? (Select
all that apply.)
WGU D447
,WGU D447
Antiretroviral therapy (ART) should be continued throughout
pregnancy.Cesarean section is recommended if viral load is high.Vaginal
delivery depends on viral load.Baby receives antiretroviral prophylaxis after
birth.Bathing is usually done after the first 24 hours to prevent HIV exposure.No
breastfeeding!
A nurse is providing postpartum care to an HIV-positive mother and her newborn.
Which actions are correct in managing the mother and newborn? (Select all that
apply.)
Continue ART postpartum to reduce viral load.Test the baby for HIV at 2 weeks,
4–6 weeks, and 6 months. Exclusive formula feeding is recommended.
A nurse is caring for an HIV-positive mother and her newborn. Which precautions
should be followed to prevent HIV transmission? SATA
Standard precautions for both mother and baby.Mother should wear gloves
when handling baby’s bodily fluids. Practice good hand hygiene when handling
baby. Baby should receive vaccinations .
Which medications are given to an HIV-positive mother during prenatal
care, labor, and postpartum care? (Select all that apply.
ART to reduce vertical transmission. Zidovudine (AZT) during labor if viral load is
detectable.IV zidovudine if viral load is high during labor. Continue ART
postpartum.
Which statements are true about Zidovudine (AZT)? (Select all that apply.)
treats HIV.Given to HIV-positive mothers during labor to reduce
transmission.Used for post-exposure prophylaxis (PEP).Does not treat bacterial
infections.
Which of the following are important for the diagnosis and management
of gestational diabetes? (Select all that apply.)
A fasting blood glucose level of ≥ 92 mg/dL is a diagnostic criterion for
gestational diabetes.The OGTT is conducted between 24-28 weeks for
diagnosis.Insulin oral hypoglycemic medications may be employed to manage
glucose levels.Hemoglobin Ac is not utilized for diagnosing gestational
diabetes.Postprandial blood glucose should be < 180 mg/dL for a healthy
pregnancy.
WGU D447
, WGU D447
Which of the following insulin or oral hypoglycemic medications are commonly
used to manage gestational diabetes? (Select all that apply.)
Insulin (e.g., regular insulin, NPH). Metformin,Glyburide
Which statements are correct about GPTAL (Gravida, Para, Term, Abortions, and
Living) when documenting pregnancy history? (Select all that apply.)
Gravida = total number of pregnancies.
Para = pregnancies carried to 20+ weeks.
Term = deliveries after 37 weeks.
Abortions = losses before 20 weeks.
Living = current number of living children a mother has..
Which dietary recommendations are important during pregnancy? (Select all that
apply.)
Folic acid is crucial for preventing neural tube defects( anacephaly,spinal bifa)
Extra calories (25-30) support pregnancy growth.
Hydration with 8 cups of water is important.
Protein intake should be higher, not limited.
Dairy can be consumed, unless there's an intolerance.
Which interventions should be followed for a patient with active herpes? (Select
all that apply.)SN: meds with VIR( viruses)
Administer antiviral medication (e.g., acyclovir). Avoid vaginal delivery if lesions
are present. Encourage frequent hand washing to prevent transmission.Provide
emotional support and education on safe sexual practices
Which interventions are important for a pregnant patient with active
herpes? (Select all that apply.)
Administer antiviral medications (e.g., acyclovir). Perform a C-section if lesions
are present. Counsel on risk of transmission to the baby.Breastfeeding is safe if
no lesions are present.Avoid sexual activity during outbreaks.
Which of the following is commonly applied to a newborn's eyes after birth, and
what is its purpose?
WGU D447
