NURS 6551 WEEK 3 SOAP NOTE OB-
GYNECOLOGY FINAL PREPARATION MANUAL
2026
◉ A 43-year-old pregnant client was brought to the emergency
department by EMS when the client was found lying in a puddle of
blood this morning at the homeless shelter.
Match each client finding to either placenta previa or abruptio
placenta.
dark red vaginal bleeding ->
hard, tender abdomen on palpation ->
bright red vaginal bleeding ->
soft, non-tender abdomen on palpation ->. Answer: dark red vaginal
bleeding -> abruptio
hard, tender abdomen on palpation -> abruptio
bright red vaginal bleeding -> previa
soft, non-tender abdomen on palpation -> previa
◉ A 25-year-old client is currently at her 20 weeks AOG. One year
ago she had a spontaneous miscarriage at 3 months of gestation.
What will the nurse document in the client's chart regarding her
GTPAL?
a) G1 T0 P0 A1 L0
,b) G2 T0 P1 A0 L0
c) G2 T0 P0 A1 L0
d) G1 T1 P0 A0 L1. Answer: c
◉ Noelle, a pregnant client on her 36 weeks AOG, comes in the clinic
for prenatal appointment. She reports frequent swelling in her
hands, feet, and face accompanied by dizziness. Fetal movements
have remained consistent throughout her pregnancy.
Which of the following actions should the nurse take first?
a) Obtain a copy of the client's birth plan to give to the provider.
b) Obtain the clients blood pressure.
c) Discuss pain management options for birth.
d) Obtain the client's weight.. Answer: b
◉ Which instruction after dilatation and curettage would the nurse
give to the client who had first trimester miscarriage?
a) Report any bleeding that requires pad change every 1 hour
b) Resume use of tampon after 24 hours
c) Avoid showering for 3 days
d) Wait for 4 weeks before engaging in sexual intercourse. Answer: A
◉ A nurse is caring for a client who believes they are pregnant.
Which of the following manifestations should the nurse anticipate
, the provider discussing with the client as positive signs of
pregnancy? Select all that apply.
a) Amenorrhea
b) Presence of FHR on auscultation
c) Purplish discoloration of vaginal tissues
d) Visualization of fetus on ultrasound
e) Positive home pregnancy test. Answer: b and d
◉ The client expresses concerns related to nausea in the first
trimester of pregnancy.
Which recommendation should the nurse take?
a) Lie down and rest whenever nausea
occurs
b) Eat more frequently throughout the
day
c) Avoid food items containing ginger
d) Eat crackers in the morning. Answer: d
◉ A nurse is analyzing the results of a 20 minute nonstress test for a
client who is at 30 weeks of gestation. Which finding indicates a
reassuring result?
a) Late deceleration of FHR during contraction
b) Acceleration of the FHR by 10bpm that lasts for 10sec
GYNECOLOGY FINAL PREPARATION MANUAL
2026
◉ A 43-year-old pregnant client was brought to the emergency
department by EMS when the client was found lying in a puddle of
blood this morning at the homeless shelter.
Match each client finding to either placenta previa or abruptio
placenta.
dark red vaginal bleeding ->
hard, tender abdomen on palpation ->
bright red vaginal bleeding ->
soft, non-tender abdomen on palpation ->. Answer: dark red vaginal
bleeding -> abruptio
hard, tender abdomen on palpation -> abruptio
bright red vaginal bleeding -> previa
soft, non-tender abdomen on palpation -> previa
◉ A 25-year-old client is currently at her 20 weeks AOG. One year
ago she had a spontaneous miscarriage at 3 months of gestation.
What will the nurse document in the client's chart regarding her
GTPAL?
a) G1 T0 P0 A1 L0
,b) G2 T0 P1 A0 L0
c) G2 T0 P0 A1 L0
d) G1 T1 P0 A0 L1. Answer: c
◉ Noelle, a pregnant client on her 36 weeks AOG, comes in the clinic
for prenatal appointment. She reports frequent swelling in her
hands, feet, and face accompanied by dizziness. Fetal movements
have remained consistent throughout her pregnancy.
Which of the following actions should the nurse take first?
a) Obtain a copy of the client's birth plan to give to the provider.
b) Obtain the clients blood pressure.
c) Discuss pain management options for birth.
d) Obtain the client's weight.. Answer: b
◉ Which instruction after dilatation and curettage would the nurse
give to the client who had first trimester miscarriage?
a) Report any bleeding that requires pad change every 1 hour
b) Resume use of tampon after 24 hours
c) Avoid showering for 3 days
d) Wait for 4 weeks before engaging in sexual intercourse. Answer: A
◉ A nurse is caring for a client who believes they are pregnant.
Which of the following manifestations should the nurse anticipate
, the provider discussing with the client as positive signs of
pregnancy? Select all that apply.
a) Amenorrhea
b) Presence of FHR on auscultation
c) Purplish discoloration of vaginal tissues
d) Visualization of fetus on ultrasound
e) Positive home pregnancy test. Answer: b and d
◉ The client expresses concerns related to nausea in the first
trimester of pregnancy.
Which recommendation should the nurse take?
a) Lie down and rest whenever nausea
occurs
b) Eat more frequently throughout the
day
c) Avoid food items containing ginger
d) Eat crackers in the morning. Answer: d
◉ A nurse is analyzing the results of a 20 minute nonstress test for a
client who is at 30 weeks of gestation. Which finding indicates a
reassuring result?
a) Late deceleration of FHR during contraction
b) Acceleration of the FHR by 10bpm that lasts for 10sec
