NURS 6551 WEEK 3 SOAP NOTE OB-
GYNECOLOGY REVIEW AND SOLUTIONS
2026
◉ A primigravida arrives at the observation unit of the maternity
unit because she thinks she is in labor. The nurse applies the
external fetal heart monitor and determines that the fetal heart rate
is 140 beats/minute and contractions are occurring irregularly
every 10-15 minutes. Which assessment finding confirms to the
nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. Answer: A. Contractions decrease with
walking.
◉ A multigravida client in labor is receiving oxytocin 4mu/minute to
help promote an effective contraction pattern. The available solution
is Lactacted Ringer's 1,000 mL with oxytocin 20 units. The nurse
should program the infusion pump to deliver how many mL/hr?
Answer: 12
◉ A primigravida client with gestational hypertension and a Bishop
score of 3 is scheduled for induction of labor. The nurse administers
, misoprostol at 0700, then observes regular contractions with
cervical changes at 0900. Which action should the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. Answer: D. Begin
oxytocin 4hrs after misoprostol is given.
◉ The nurse is caring for a client whose fetus died in utero at 32
weeks gestation. After the fetus is delivered vaginally, the nurse
implements routine fetal demise protocol and identification
procedures. Which action is important for the nurse to take?
A. Explain reasons consent for an infant autopsy is needed.
B. Encourage the mother to hold and spend time with her baby.
C. Determine if the mother desires a visit from her clergy.
D. Create a memory box of baby's footprints and photographs.
Answer: B. Encourage the mother to hold and spend time with her
baby.
◉ Following a minor motor vehicle collision, a client at 36-weeks
gestation is brought to the emergency center. She is lying supine on a
backboard, is awake, and denies any complaints. Her blood pressure
is 80/50 mmHg and heart rate is 130 bpm. Which action should the
nurse implement first?
A. Palpate the abdomen for contractions.
GYNECOLOGY REVIEW AND SOLUTIONS
2026
◉ A primigravida arrives at the observation unit of the maternity
unit because she thinks she is in labor. The nurse applies the
external fetal heart monitor and determines that the fetal heart rate
is 140 beats/minute and contractions are occurring irregularly
every 10-15 minutes. Which assessment finding confirms to the
nurse that the client is not in labor at this time?
A. Contractions decrease with walking.
B. 2+ pitting edema in lower extremities.
C. Cervical dilations is 1cm.
D. Membranes are intact. Answer: A. Contractions decrease with
walking.
◉ A multigravida client in labor is receiving oxytocin 4mu/minute to
help promote an effective contraction pattern. The available solution
is Lactacted Ringer's 1,000 mL with oxytocin 20 units. The nurse
should program the infusion pump to deliver how many mL/hr?
Answer: 12
◉ A primigravida client with gestational hypertension and a Bishop
score of 3 is scheduled for induction of labor. The nurse administers
, misoprostol at 0700, then observes regular contractions with
cervical changes at 0900. Which action should the nurse take?
A. Administer misoprostol every 2hrs.
B. Ambulate the client after administration of misoprostol.
C. Start oxytocin infusion immediately.
D. Begin oxytocin 4hrs after misoprostol is given. Answer: D. Begin
oxytocin 4hrs after misoprostol is given.
◉ The nurse is caring for a client whose fetus died in utero at 32
weeks gestation. After the fetus is delivered vaginally, the nurse
implements routine fetal demise protocol and identification
procedures. Which action is important for the nurse to take?
A. Explain reasons consent for an infant autopsy is needed.
B. Encourage the mother to hold and spend time with her baby.
C. Determine if the mother desires a visit from her clergy.
D. Create a memory box of baby's footprints and photographs.
Answer: B. Encourage the mother to hold and spend time with her
baby.
◉ Following a minor motor vehicle collision, a client at 36-weeks
gestation is brought to the emergency center. She is lying supine on a
backboard, is awake, and denies any complaints. Her blood pressure
is 80/50 mmHg and heart rate is 130 bpm. Which action should the
nurse implement first?
A. Palpate the abdomen for contractions.
