FNP 1 - Women's Health Exam 2023 A+

FNP 1 - Women's Health Exam 2023 A+ Menstruating woman with bleeding and pain. Order this. - ANS-HCG - pregnancy 1st line diagnostic study for abnormal uterine bleeding - ANS-TVUS How long do you wait for follow-up after starting OCP? - ANS-21 days to evaluate efficacy Stimulates the growth of endometrium - ANS-estrogen A differential for dysfunctional uterine bleeding that causes abdominal pain - ANSEctopic pregnancy Women over 35 with dysfunctional uterine bleeding should be evaluated for - ANScervical/ uterine cancer Failure to menstruate by age 14 with no secondary sex characteristics - ANS-primary amenorrhea Failure to menstruate by age 16 with secondary sex characteristics - ANS-primary amenorrhea absence of menstruation for 3+ consecutive months in women who have achieved menarche - ANS-secondary amenorrhea Withdrawal bleeding after a progesterone challenge test indicates what? - ANS-enough estrogen being made and amenorrhea NOT due to lack of ovulation Treatment for primary amenorrhea - ANS-estrogen to develop sex characteristics Treatment for secondary amenorrhea - ANS-oral contraceptives, progesterone or surgical intervention for endometrial scarring What phase of the menstrual cycle does PMS occur? - ANS-Luteal (2nd) phase What is the first line treatment for PMS? - ANS-Lifestyle changes Medications used for PMS include: - ANS-SSRI - psychological symptoms Danazol - induce ovarian suppression Spironolactone - fluid retention NSAIDS - physical symptoms Continues...