Exam 4: NSG554/ NSG 554 (New 2024/ 2025 Update) - Nurse Practitioners in Primary Care I Exam Review| Complete Guide with Questions and Verified Answers| All Modules Covered|100% Correct| A Grade

Exam 4: NSG554/ NSG 554 (New 2024/ 2025 Update) - Nurse Practitioners in Primary Care I Exam Review| Complete Guide with Questions and Verified Answers| All Modules Covered|100% Correct| A Grade QUESTION ectopic pregnancy any implantation outside of the uterus HIGH mortality QUESTION s/s ectopic pregnancy Answer: Symptoms can be vague and subacute. Most common symptoms: abdominal pain with/without vaginal bleeding or spotting, dizziness, and shoulder pain Symptoms generally appear between 6 and 12 weeks of gestation. Amenorrhea for 1 to 2 months and the usual early signs of pregnancy (nausea, fatigue, breast heaviness) are often part of the initial presentation. May have generalized or unilateral pelvic or abdominal pain Pain to the shoulder (ruptured ectopic sign) QUESTION PE/diagnosis ectopic pregnancy Answer: postural vital signs, speculum exam, check for abdominal tenderness adnexal mass, involuntary guarding, peritoneal signs CBC, blood type, rH, serum progesterone transvaginal US QUESTION differential dx for ectopic pregnancy Answer: Appendicitis Salpingitis Cholecystitis PID Intrauterine pregnancy with inaccurate dates Corpus luteum cyst Gestational trophoblastic neoplasm Incomplete or missed spontaneous abortion Endometriosis Pelvic mass Ureteral calculi Adnexal torsion Twisted cystic teratoma Ruptured malignant ovarian tumor QUESTION management of ectopic pregnancy Answer: Emergent referral (ED) for a positive test result for serum human chorionic gonadotropin (hCG), abdominal pain, and vaginal bleeding/ruptured EP Pharmacotherapy with guided US -Folic acid antagonist -Methotrexate or potassium chloride Uterine immobilization Surgical laparoscopy or laparotomy treatment choice for ruptured ectopic pregnancy QUESTION only gyn cancer with standardized screening tool Answer: cervical cancer--PAP smear QUESTION most prevalant type of gyn cancer Answer: endometrial QUESTION ovarian cancer symptoms Answer: 65+, genetic factors, pelvic pain, fullness, early satiety or urinary frequency QUESTION most important s/s of endometrial cancer in postmenopausal patient is -_________ Answer: bleeding QUESTION dx and PE of gyn cancer pelvic exam--include rectovaginal exam