NRNP 6552 MIDTERM EXAM COMPLETE QUESTIONS AND ANSWERS 2023 UPDATE

Abnormal Uterine Bleeding (Diagnostics and lab tests) - 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