NRNP 6552 Advanced Nurse Practice in Reproductive Health Care EXAM Latest Update Questions and Verified Correct Answers Guaranteed A+ Abnormal Uterine Bleeding (Diagnostics and lab tests) - Correct Answer: 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)
- Pelvic pain? think....
- Nausea, weight gain, urinary frequency, fatigue? think...
- Weight gain, cold intolerance,
Miscarriage, ectopic pregnancy, PID, trauma, sexual abuse or assault
Pregnancy
Alcohol Consumption and Women
Recommended daily intake limit? Possible Risks? - Correct Answer: Alcohol 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 - Correct Answer: primary care providers throughout the lifespan with a special emphasis on pregnancy, childbirth, and gynecological reproductive health.
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American College of Obstetrics and Gynecologists recommendations - Correct Answer: Membership 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 - Correct Answer: Weight (Lbs) x 703/height (in) squared BMI 19-24=Normal 25-29 =overwight 30-39= obese > 40 extreme obese
CERVICAL CANCER AND SCREENING - Correct Answer: Pap-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 - Correct Answer: USPSTF 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 - Correct Answer: To 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.
Definition of rape - Correct Answer: There is still no clinical definition of sexual assault or rape that has gained acceptance. clinicians should become familiar with their states definitions and corresponding laws.
The revised UCR definition of rape is: Penetration, no matter how slight, of the vagina or anus with any body part or object, or oral penetration by a sex organ of another person, without the consent of the victim.
Diabetes in women (pregnant and nonpregnant) - Correct Answer: (USPSTF) recently updated recommendations and suggests screening individuals 40 to 70 years of age who are overweight or obese. Persons with abnormal results should be referred for intensive behavioral counseling interventions focusing on physical activity and a healthy diet. Clinicians should consider screening certain individuals at higher risk. repeat screening every 3 years and a fasting blood glucose yearly.
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