Wgu Womens

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Sample questions from Wgu Womens

This material has 90 questions with answers and rationales. Here are the first 5.

1. 1.At change of shift on a postpartum unit, a 29-year-old client who had a vaginal birth 2 hours ago has a boggy uterus, heavy lochia, and a heart rate of 118/min. Which action should the nurse take first?

   • A.Massage the uterine fundus
   • B.Notify the primary health care provider
   • C.Obtain a hemoglobin level
   • D.Prepare the client for transfer to the operating room

   Rationale: Fundal massage is the immediate action for uterine atony and can reduce bleeding while the nurse continues assessment. Notifying the provider and obtaining laboratory results are important but should not delay this intervention. Operating-room transfer is not indicated before initial measures are attempted and the client is reassessed.

2. 2.In a labor and delivery unit, a 24-year-old client at 39 weeks has recurrent late fetal heart rate decelerations after oxytocin is increased. Which action should the nurse take first?

   • A.Document the decelerations and reassess in 30 minutes
   • B.Increase the oxytocin infusion
   • C.Stop the oxytocin infusion
   • D.Assist the client to begin pushing

   Rationale: Stopping oxytocin reduces uterine stimulation and is the first response to recurrent late decelerations. Increasing the infusion may worsen uteroplacental perfusion, and pushing is inappropriate unless the client is fully dilated and the fetal status supports it. Waiting 30 minutes to reassess delays intervention for a concerning fetal pattern.

3. 3.A 30-year-old client is 3 hours postpartum in a hospital room after a vaginal birth. The client has a history of preeclampsia and reports a severe headache; BP is 168/112 mm Hg. Which actions should the nurse take? Select all that apply.

   • A.Encourage the client to ambulate to relieve the headache
   • B.Administer prescribed antihypertensive medication
   • C.Institute seizure precautions
   • D.Notify the provider promptly
   • E.Recheck blood pressure using an appropriate cuff

   Rationale: The severe-range pressure and headache require prompt escalation, seizure precautions, accurate reassessment, and administration of prescribed antihypertensive therapy. Ambulation does not treat severe hypertension and increases risk if the client develops a seizure or neurologic change. The combination of postpartum symptoms and severe blood pressure requires urgent monitoring and treatment.

4. 4.In an outpatient prenatal clinic, a 19-year-old client at 10 weeks says, 'I cannot afford all these appointments.' Which nursing action best supports continuity of care?

   • A.Advise the client to borrow money from family
   • B.Schedule all remaining visits on the same day without discussing barriers
   • C.Tell the client to return only if symptoms develop
   • D.Refer the client to a social worker or care coordinator to explore coverage and transportation resources

   Answer and rationale are in the full material.

5. 5.Refer to the client's chart. Which actions should the nurse take now for this 26-year-old client on the labor unit? Select all that apply.

   • A.Discontinue the oxytocin infusion
   • B.Continue oxytocin and reassess in 30 minutes
   • C.Notify the provider of the persistent abnormal fetal pattern
   • D.Increase the primary IV fluid rate as prescribed by protocol
   • E.Reposition the client laterally

   Answer and rationale are in the full material.