6552 Advanced Nurse Practice in
Reproductive Health Care
Abnormal Uterine Bleeding (Diagnostics and lab exams) - ANS-The Graves speculum is the
maximum not unusual variety utilized by OB/GYNs. This vaginalspeculum is generally to be
had 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
also are curved
Diagnostics
Pap smear
Vaginal lifestyle
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 intervene with the normal manufacturing of other hormones which
include estrogen and progesterone. This can result in irregular or missed durations, and
prevent ovulation. Some women can have excessive levels and be absolutely asymptomatic
FHS-
History (EXTRA INFO TO KNOW)
1. Pelvic ache? Think....
Miscarriage, ectopic pregnancy, PID, trauma, sexual abuse or attack
2. Nausea, weight benefit, urinary frequency, fatigue? Suppose...
Pregnancy
3. Weight gain, cold intolerance, constipation, fatigue? Assume.....
Hypothyroidism
4.Weight loss, sweating, palpitations?.....
Hyperthyroidism
five.Easy bruising, tendency to bleed? Think... Coagulopathy
6. Jaundice, records of hepatitis? Think...
Liver ailment
7. Hirsutism, acne, acanthosis nigricans, obesity? Think
Polycystic ovary syndrome
eight. Postcoital bleeding (recognizing or bleeding after sex unrelated to menstrual cycle)?
Think...
Cervical dysplasia, endocervical polyps
9.Galactorrhea, headache, visible-subject disturbance?Think
, Pituitary adenoma
10. Weight loss, immoderate exercise, stress? Think
Hypothalamic suppression
eleven. Thyromegaly, weight advantage, edema?
Hypothyroidism
12. Thyroid tenderness, tachycardia, weight reduction, velvety pores and skin? Think...
Hyperthyroidism
thirteen. Bruising, jaundice, hepatomegaly? Think..
Liver sickness
14. Enlarged uterus?
Pregnancy, leiomyoma, uter
Alcohol Consumption and Women
Recommended each day consumption limit? Possible Risks? - ANS-Alcohol is unsafe for a
female who has both greater than 7 beverages according to week or extra than three
beverages in line with day. This amount positioned's girls at risk for growing AUD (Alcohol
Dependance Disorder). #Alcoholism
American College of Nurse-Midwives (who can they treat?) definition of scope of practice -
ANS-primary care providers during the lifespan with a unique emphasis on being pregnant,
childbirth, and gynecological reproductive health.
American College of Obstetrics and Gynecologists pointers - ANS-Membership organization
devoted to the development of girls's health care and the expert and socioeconomic interests
of its members thru persevering with medical training , practice, research, and advocacy.
BMI Formula what's considered obese and underweight - ANS-Weight (Lbs) x 703/peak (in)
squared
BMI
19-24=Normal
25-29 =overwight
30-39= overweight
> forty excessive overweight
CERVICAL CANCER AND SCREENING - ANS-Pap-check 21-65 (cervical cancer display
screen)
New screening c program languageperiod became recently up to date from annually to once
each 3 years if normal
Co-trying out with HPV through PAP each five years for a while 30-sixty five.
Colorectal Cancer Screening - ANS-USPSTF recommends screening all adults a while
five-75 years vintage. Early screening in women if a primary degree relative had colorectal
cancer at a young age. If they have got inflammatory bowel disease, or uncommon genetics
together with familial adenomatous polyposis or nonpolypous
Cultural Perspective of Women - ANS-To create a tradition in health care settings where
providers must educate themselves approximately the health desires and issues of the
populace and create environments that are welcoming, nonthreatening, and normalized to
humans of ALL gender, identities, and sexual orientations.
Definition of rape - ANS-There is still no scientific definition of sexual assault or rape that has
won recognition. Clinicians must turn out to be acquainted with their states definitions and
corresponding legal guidelines.
Reproductive Health Care
Abnormal Uterine Bleeding (Diagnostics and lab exams) - ANS-The Graves speculum is the
maximum not unusual variety utilized by OB/GYNs. This vaginalspeculum is generally to be
had 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
also are curved
Diagnostics
Pap smear
Vaginal lifestyle
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 intervene with the normal manufacturing of other hormones which
include estrogen and progesterone. This can result in irregular or missed durations, and
prevent ovulation. Some women can have excessive levels and be absolutely asymptomatic
FHS-
History (EXTRA INFO TO KNOW)
1. Pelvic ache? Think....
Miscarriage, ectopic pregnancy, PID, trauma, sexual abuse or attack
2. Nausea, weight benefit, urinary frequency, fatigue? Suppose...
Pregnancy
3. Weight gain, cold intolerance, constipation, fatigue? Assume.....
Hypothyroidism
4.Weight loss, sweating, palpitations?.....
Hyperthyroidism
five.Easy bruising, tendency to bleed? Think... Coagulopathy
6. Jaundice, records of hepatitis? Think...
Liver ailment
7. Hirsutism, acne, acanthosis nigricans, obesity? Think
Polycystic ovary syndrome
eight. Postcoital bleeding (recognizing or bleeding after sex unrelated to menstrual cycle)?
Think...
Cervical dysplasia, endocervical polyps
9.Galactorrhea, headache, visible-subject disturbance?Think
, Pituitary adenoma
10. Weight loss, immoderate exercise, stress? Think
Hypothalamic suppression
eleven. Thyromegaly, weight advantage, edema?
Hypothyroidism
12. Thyroid tenderness, tachycardia, weight reduction, velvety pores and skin? Think...
Hyperthyroidism
thirteen. Bruising, jaundice, hepatomegaly? Think..
Liver sickness
14. Enlarged uterus?
Pregnancy, leiomyoma, uter
Alcohol Consumption and Women
Recommended each day consumption limit? Possible Risks? - ANS-Alcohol is unsafe for a
female who has both greater than 7 beverages according to week or extra than three
beverages in line with day. This amount positioned's girls at risk for growing AUD (Alcohol
Dependance Disorder). #Alcoholism
American College of Nurse-Midwives (who can they treat?) definition of scope of practice -
ANS-primary care providers during the lifespan with a unique emphasis on being pregnant,
childbirth, and gynecological reproductive health.
American College of Obstetrics and Gynecologists pointers - ANS-Membership organization
devoted to the development of girls's health care and the expert and socioeconomic interests
of its members thru persevering with medical training , practice, research, and advocacy.
BMI Formula what's considered obese and underweight - ANS-Weight (Lbs) x 703/peak (in)
squared
BMI
19-24=Normal
25-29 =overwight
30-39= overweight
> forty excessive overweight
CERVICAL CANCER AND SCREENING - ANS-Pap-check 21-65 (cervical cancer display
screen)
New screening c program languageperiod became recently up to date from annually to once
each 3 years if normal
Co-trying out with HPV through PAP each five years for a while 30-sixty five.
Colorectal Cancer Screening - ANS-USPSTF recommends screening all adults a while
five-75 years vintage. Early screening in women if a primary degree relative had colorectal
cancer at a young age. If they have got inflammatory bowel disease, or uncommon genetics
together with familial adenomatous polyposis or nonpolypous
Cultural Perspective of Women - ANS-To create a tradition in health care settings where
providers must educate themselves approximately the health desires and issues of the
populace and create environments that are welcoming, nonthreatening, and normalized to
humans of ALL gender, identities, and sexual orientations.
Definition of rape - ANS-There is still no scientific definition of sexual assault or rape that has
won recognition. Clinicians must turn out to be acquainted with their states definitions and
corresponding legal guidelines.
