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Advanced Nurse Practice in Reproductive Health Care 6552 – Course Material, Academic Year – Complete Study Notes

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This document covers key concepts in advanced nurse practice in reproductive health care, including patient assessment, clinical management, and evidence-based interventions. It provides structured notes that support understanding of reproductive health conditions and nursing responsibilities. The material is comprehensive and useful for exam preparation and clinical application.

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6552 Advanced Nurse Practice in Reproductive
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Nurse Practice in Reproductive
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6552 Advanced Nurse Practice in Reproductive
Health Care
Abnormal Uterine Bleeding (Diagnostics and lab tests) - ANS-The Graves speculum is the most
common variety used by OB/GYNs. This vaginalspeculum is commonly available in multiple
sizes: small, medium and large. The bills of the Graves speculum, which resemble a duck's
mouth, are wider than the bills of the Pederson speculum, and the sides are also curved

Diagnostics
Pap smear
Vaginal culture
pelvic ultrasound
EMB-Endometrial biopsy

Lab Tests
qualitative/quantitative HcG, CBC with platelets, Pt and PTT, FHS, Progesterone, TSH, Iron, and
Prolactin

(Lab Tests Explained)
Prolactin-High levels interfere with the normal production of other hormones such as estrogen
and progesterone. This can result in irregular or missed periods, and prevent ovulation. Some
women can have high levels and be completely asymptomatic
FHS-

History (EXTRA INFO TO KNOW)
1. Pelvic pain? think....
Miscarriage, ectopic pregnancy, PID, trauma, sexual abuse or assault
2. Nausea, weight gain, urinary frequency, fatigue? think...
Pregnancy
3. Weight gain, cold intolerance, constipation, fatigue? think.....
Hypothyroidism
4.Weight loss, sweating, palpitations?.....
Hyperthyroidism
5.Easy bruising, tendency to bleed? think... Coagulopathy
6. Jaundice, history of hepatitis? Think...
Liver disease
7. Hirsutism, acne, acanthosis nigricans, obesity? Think
Polycystic ovary syndrome
8. Postcoital bleeding (spotting or bleeding after intercourse unrelated to menstrual cycle)?
Think...
Cervical dysplasia, endocervical polyps




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9.Galactorrhea, headache, visual-field disturbance?Think
Pituitary adenoma
10. Weight loss, excessive exercise, stress? Think
Hypothalamic suppression
11. Thyromegaly, weight gain, edema?
Hypothyroidism
12. Thyroid tenderness, tachycardia, weight loss, velvety skin? Think...
Hyperthyroidism
13. Bruising, jaundice, hepatomegaly? Think..
Liver disease
14. Enlarged uterus?
Pregnancy, leiomyoma, uter

Alcohol Consumption and Women
Recommended daily intake limit? Possible Risks? - ANS-Alcohol is hazardous for a woman who
has either more than 7 drinks per week or more than 3 drinks per day. This amount put's women
at risk for developing AUD (Alcohol Dependance Disorder). #Alcoholism

American College of Nurse-Midwives (who can they treat?) definition of scope of practice -
ANS-primary care providers throughout the lifespan with a special emphasis on pregnancy,
childbirth, and gynecological reproductive health.

American College of Obstetrics and Gynecologists recommendations - ANS-Membership
organization dedicated to the advancement of women's health care and the professional and
socioeconomic interests of its members through continuing medical education , practice,
research, and advocacy.

BMI Formula what is considered overweight and underweight - ANS-Weight (Lbs) x 703/height
(in) squared
BMI
19-24=Normal
25-29 =overwight
30-39= obese
> 40 extreme obese

CERVICAL CANCER AND SCREENING - ANS-Pap-test 21-65 (cervical cancer screen)
New screening interval was recently updated from annually to once every three years if normal
Co-testing with HPV via PAP every 5 years for ages 30-65.

Colorectal Cancer Screening - ANS-USPSTF recommends screening all adults ages 5-75 years
old. Early screening in women if a first degree relative had colorectal cancer at a young age. If
they have inflammatory bowel disease, or rare genetics such as familial adenomatous polyposis
or nonpolypous




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