Health Care And Correct Detailed Answers With
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Abnormal Uterine Bleeding (Diagnostics and lab tests) - ansThe 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
9.Galactorrhea, headache, visual-field disturbance?Think
Pituitary adenoma
10. Weight loss, excessive exercise, stress? Think
Hypothalamic suppression
11. Thyromegaly, weight gain, edema?
, 6552 Advanced Nurse Practice In Reproductive
Health Care And Correct Detailed Answers With
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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? - ansAlcohol 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 -
ansprimary care providers throughout the lifespan with a special emphasis on pregnancy,
childbirth, and gynecological reproductive health.
American College of Obstetrics and Gynecologists recommendations - ansMembership
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 - ansWeight (Lbs) x
703/height (in) squared
BMI
19-24=Normal
25-29 =overwight
30-39= obese
> 40 extreme obese
CERVICAL CANCER AND SCREENING - ansPap-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 - ansUSPSTF 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
Cultural Perspective of Women - ansTo create a culture in health care settings where
providers must educate themselves about the health needs and concerns of the
population and create environments that are welcoming, nonthreatening, and normalized
to people of ALL gender, identities, and sexual orientations.