FNP 1 Exam Study Guide for NURS 5432
Immunizations should not be delayed for minor illnesses.
Vaccinations
Rotavirus Vaccines Two types: Rotarix and Rotateq with specific dosing.
Live-virus vaccines are contraindicated for these patients.
Immunodeficient Children
Known Allergies Children with allergies may need vaccine adjustments.
RV Vaccine Rare intussusception risk; avoid in certain conditions.
Key skills children should achieve by specific ages.
Developmental Milestones
Tanner Stages System for assessing sexual maturation stages.
Stage 1 Tanner Pre-pubertal stage with no pubic hair.
Stage 2 Tanner Soft pubic hair; breast buds in females.
Stage 3 Tanner Coarser pubic hair; penis enlargement in males.
Stage 4 Tanner Pubic hair covers area; breast mound development.
Stage 5 Tanner Adult stage; full development of genitalia.
Autism Symptoms typically present before age 3.
AUB Classification Describes abnormal uterine bleeding patterns.
PAP Screening Guidelines Recommendations for cervical cancer screening ages.
Chronic Diseases Not outright contraindications for vaccinations.
Premature Infants Immunization schedule based on chronological age.
Live Virus Vaccines Contraindicated in immunocompromised children.
Neomycin Allergy Avoid MMR, IPV, VAR in allergic children.
Egg Allergy Influenza vaccine can be given with precautions.
Developmental Control Head control by 3 months; sitting by 6 months.
Pincer Grasp Develops between 8-10 months of age.
Walking Milestone Typically achieved by 1 year of age.
2025/11/10
, FNP 1 Exam Study Guide for NURS 5432
Babbling Peaks at 12 months; begins word usage.
Expressive Vocabulary Expands significantly from 12 to 24 months.
Speech Comprehension 100% comprehension by kindergarten age.
Hospitalized Children Vaccination deferred until post-discharge.
Contraindicates RV vaccines in infants.
Severe Combined
Immunodeficiency
Vaccination deferred in acute moderate or severe cases.
Gastroenteritis
PAP test Screening for cervical cancer; first at age 21.
HPV testing Determines subtype of human papillomavirus.
Colposcopy Examination of cervix after abnormal PAP results.
Topical or oral antifungals like Clotrimazole.
Vaginal candidiasis treatment
Bartholin's gland cyst Incision and drainage; word catheter for 4-6 weeks.
management
PALM-COEIN Acronym for causes of abnormal uterine bleeding.
Polyp Benign growth in the uterine lining.
Adenomyosis Endometrial tissue grows into uterine muscle.
Benign smooth muscle tumors in premenopausal women.
Leiomyoma
Coagulopathy Blood disorder causing abnormal bleeding.
Ovulatory dysfunction Irregular ovulation leading to menstrual issues.
Endometrial Referring to the uterine lining.
Iatrogenic Caused by medical treatment or device.
PCOS Polycystic ovarian syndrome; hormonal imbalance.
Androgen excess High levels of male hormones in females.
Insulin resistance Body's cells do not respond to insulin.
2025/11/10
, FNP 1 Exam Study Guide for NURS 5432
Hormone indicating adrenal function; elevated in PCOS.
DHEA-S
Thyroid-stimulating hormone; assesses thyroid function.
TSH
A1c/OGTT Tests for diabetes; OGTT preferred for obesity.
Metabolic syndrome Cluster of conditions increasing heart disease risk.
Weight reduction 10% loss improves insulin and menstrual function.
First-line for managing PCOS symptoms.
Combined hormonal
contraceptives
Letrozole First-line medication for ovarian stimulation.
Vulvovaginal candidiasis Fungal infection; may have satellite lesions.
Labial adhesions Common condition in 20% of females.
Diflucan Oral antifungal for treating candidiasis.
Menstrual irregularity Varied menstrual cycles; includes amenorrhea.
Hirsutism Excessive hair growth in females; male patterns.
Ovarian morphology Presence of cysts in ovaries; PCOS indicator.
Secondary skin lesions often associated with infections.
Satellite lesions
PO ABX Oral antibiotics that may disrupt normal flora.
Terazole Topical treatment effective for all yeast types.
Atrophic vaginitis Vaginal tissue thinning due to estrogen deficiency.
Topical estrogen Cream or tablets used to treat vaginal atrophy.
Vulvar lichen sclerosis Chronic skin condition, often in older women.
Conditions where the immune system attacks the body.
Autoimmune disease
Punch biopsy Diagnostic procedure to obtain skin tissue sample.
2025/11/10
Immunizations should not be delayed for minor illnesses.
Vaccinations
Rotavirus Vaccines Two types: Rotarix and Rotateq with specific dosing.
Live-virus vaccines are contraindicated for these patients.
Immunodeficient Children
Known Allergies Children with allergies may need vaccine adjustments.
RV Vaccine Rare intussusception risk; avoid in certain conditions.
Key skills children should achieve by specific ages.
Developmental Milestones
Tanner Stages System for assessing sexual maturation stages.
Stage 1 Tanner Pre-pubertal stage with no pubic hair.
Stage 2 Tanner Soft pubic hair; breast buds in females.
Stage 3 Tanner Coarser pubic hair; penis enlargement in males.
Stage 4 Tanner Pubic hair covers area; breast mound development.
Stage 5 Tanner Adult stage; full development of genitalia.
Autism Symptoms typically present before age 3.
AUB Classification Describes abnormal uterine bleeding patterns.
PAP Screening Guidelines Recommendations for cervical cancer screening ages.
Chronic Diseases Not outright contraindications for vaccinations.
Premature Infants Immunization schedule based on chronological age.
Live Virus Vaccines Contraindicated in immunocompromised children.
Neomycin Allergy Avoid MMR, IPV, VAR in allergic children.
Egg Allergy Influenza vaccine can be given with precautions.
Developmental Control Head control by 3 months; sitting by 6 months.
Pincer Grasp Develops between 8-10 months of age.
Walking Milestone Typically achieved by 1 year of age.
2025/11/10
, FNP 1 Exam Study Guide for NURS 5432
Babbling Peaks at 12 months; begins word usage.
Expressive Vocabulary Expands significantly from 12 to 24 months.
Speech Comprehension 100% comprehension by kindergarten age.
Hospitalized Children Vaccination deferred until post-discharge.
Contraindicates RV vaccines in infants.
Severe Combined
Immunodeficiency
Vaccination deferred in acute moderate or severe cases.
Gastroenteritis
PAP test Screening for cervical cancer; first at age 21.
HPV testing Determines subtype of human papillomavirus.
Colposcopy Examination of cervix after abnormal PAP results.
Topical or oral antifungals like Clotrimazole.
Vaginal candidiasis treatment
Bartholin's gland cyst Incision and drainage; word catheter for 4-6 weeks.
management
PALM-COEIN Acronym for causes of abnormal uterine bleeding.
Polyp Benign growth in the uterine lining.
Adenomyosis Endometrial tissue grows into uterine muscle.
Benign smooth muscle tumors in premenopausal women.
Leiomyoma
Coagulopathy Blood disorder causing abnormal bleeding.
Ovulatory dysfunction Irregular ovulation leading to menstrual issues.
Endometrial Referring to the uterine lining.
Iatrogenic Caused by medical treatment or device.
PCOS Polycystic ovarian syndrome; hormonal imbalance.
Androgen excess High levels of male hormones in females.
Insulin resistance Body's cells do not respond to insulin.
2025/11/10
, FNP 1 Exam Study Guide for NURS 5432
Hormone indicating adrenal function; elevated in PCOS.
DHEA-S
Thyroid-stimulating hormone; assesses thyroid function.
TSH
A1c/OGTT Tests for diabetes; OGTT preferred for obesity.
Metabolic syndrome Cluster of conditions increasing heart disease risk.
Weight reduction 10% loss improves insulin and menstrual function.
First-line for managing PCOS symptoms.
Combined hormonal
contraceptives
Letrozole First-line medication for ovarian stimulation.
Vulvovaginal candidiasis Fungal infection; may have satellite lesions.
Labial adhesions Common condition in 20% of females.
Diflucan Oral antifungal for treating candidiasis.
Menstrual irregularity Varied menstrual cycles; includes amenorrhea.
Hirsutism Excessive hair growth in females; male patterns.
Ovarian morphology Presence of cysts in ovaries; PCOS indicator.
Secondary skin lesions often associated with infections.
Satellite lesions
PO ABX Oral antibiotics that may disrupt normal flora.
Terazole Topical treatment effective for all yeast types.
Atrophic vaginitis Vaginal tissue thinning due to estrogen deficiency.
Topical estrogen Cream or tablets used to treat vaginal atrophy.
Vulvar lichen sclerosis Chronic skin condition, often in older women.
Conditions where the immune system attacks the body.
Autoimmune disease
Punch biopsy Diagnostic procedure to obtain skin tissue sample.
2025/11/10
