NURS 6551 WEEK 3 SOAP NOTE OB-
GYNECOLOGY COMPREHENSIVE STUDY
GUIDE 2026
◉ The healthcare provider prescribes zidovudine 100mg po 5x daily
for a pregnant woman who is HIV positive. How much do you
administer? (?) Answer: 10
◉ The nurse is preparing a young couple and their 24-hour-old
infant for discharge from the hospital. In conducting discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. Answer: D.
Evaluate infant feeding technique prior to discharge.
◉ A 30-year-old primigravida delivers a 9-pound (4082 gram) infant
vaginally after a 30-hour labor. What is the priority nursing action
for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
,D. Assess the blood pressure for hypertension. Answer: A. Gently
massage the fundus every 4 hours.
◉ A multiparous client with active herpes lesion is admitted to the
unit with spontaneous rupture of membranes. Which action should
the nurse do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section. Answer: D. Prepare for a cesarean
section.
◉ The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a
chest circumference of 10 inches. Based on these physical findings,
assessments for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia Answer: D. Hypoglycemia
◉ While assessing a 40-week gestation primigravida in active labor,
the client's membranes rupture spontaneously and the nurse notices
that the amniotic fluid is meconium stained. Which additional
, finding is most important for the nurse to report to the healthcare
provider?
A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes. Answer: A. Maternal
blood pressure of 130/85 mmHg.
◉ The nurse is caring for a 35-week gestation infant delivered by
cesarean section 2 hours ago. The nurse observes the infant's
respiratory rate is 72 breaths/minute with nasal flaring, grunting,
and retractions. The nurse should recognize these findings indicate
which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. Answer: B. Transient tachypnea of
the newborn.
◉ A primipara client at 42 weeks gestation is admitted for induction.
Within one hour after initiating an oxytocin infusion, her cervix is
100% effaced and 6 cm dilated, contractions are occurring every 1
minute with a 75 second duration. The nurse stops the oxytocin and
starts oxygen. After 30 minutes of uterine rest, the contractions are
GYNECOLOGY COMPREHENSIVE STUDY
GUIDE 2026
◉ The healthcare provider prescribes zidovudine 100mg po 5x daily
for a pregnant woman who is HIV positive. How much do you
administer? (?) Answer: 10
◉ The nurse is preparing a young couple and their 24-hour-old
infant for discharge from the hospital. In conducting discharge ...
A. Ensure that they have the pediatric clinic's phone number.
B. Provide the results of the infant's hearing test to the parents.
C. Request a return demonstration of a diaper change.
D. Evaluate infant feeding technique prior to discharge. Answer: D.
Evaluate infant feeding technique prior to discharge.
◉ A 30-year-old primigravida delivers a 9-pound (4082 gram) infant
vaginally after a 30-hour labor. What is the priority nursing action
for this client?
A. Gently massage the fundus every 4 hours.
B. Observe for signs of uterine hemorrhage.
C. Encourage direct contact with the infant.
,D. Assess the blood pressure for hypertension. Answer: A. Gently
massage the fundus every 4 hours.
◉ A multiparous client with active herpes lesion is admitted to the
unit with spontaneous rupture of membranes. Which action should
the nurse do first?
A. Obtain blood cultures.
B. Cover the lesion with a dressing.
C. Administer penicillin.
D. Prepare for a cesarean section. Answer: D. Prepare for a cesarean
section.
◉ The nurse is caring for a newborn who is 18 inches long, weighs 4
pounds, 14 ounces, has a head circumference of 13 inches, and a
chest circumference of 10 inches. Based on these physical findings,
assessments for which condition has the highest priority?
A. Hyperbilirubinemia
B. Polycythemia
C. Hyperthermia
D. Hypoglycemia Answer: D. Hypoglycemia
◉ While assessing a 40-week gestation primigravida in active labor,
the client's membranes rupture spontaneously and the nurse notices
that the amniotic fluid is meconium stained. Which additional
, finding is most important for the nurse to report to the healthcare
provider?
A. Maternal blood pressure of 130/85 mmHg.
B. Fetal heart rate of 100 to 110 bpm.
C. Vaginal exam reveals a cervix 6cm dilated.
D. Contractions occurring every 2-3 minutes. Answer: A. Maternal
blood pressure of 130/85 mmHg.
◉ The nurse is caring for a 35-week gestation infant delivered by
cesarean section 2 hours ago. The nurse observes the infant's
respiratory rate is 72 breaths/minute with nasal flaring, grunting,
and retractions. The nurse should recognize these findings indicate
which complication?
A. Persistent pulmonary hypertension of the newborn.
B. Transient tachypnea of the newborn.
C. Meconium aspiration syndrome.
D. Bronchopulmonary dysplasia. Answer: B. Transient tachypnea of
the newborn.
◉ A primipara client at 42 weeks gestation is admitted for induction.
Within one hour after initiating an oxytocin infusion, her cervix is
100% effaced and 6 cm dilated, contractions are occurring every 1
minute with a 75 second duration. The nurse stops the oxytocin and
starts oxygen. After 30 minutes of uterine rest, the contractions are
