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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 1 Discussion
Different Roles of the Nurse Practitioner
The term ‘history” is broad in meaning. Within that broad framework archeologists tend to focus their careers on various specialties and areas of interest, such as specific historical eras or geographical areas.
So it is with nurses. Within the broad framework of healthcare, nurse practitioners focus their careers on various roles. These roles may in part be based on narrower areas of interest such as women’s health. Careers also focus on selected technical nursing specialties.
For this Discussion, you will explore your professional interests and those interests are addressed in specific guidelines and competencies. You also examine the different nurse practitioner roles related to women’s health and how these roles might impact the way you work.
To prepare:
Review the modular structure of this course and reflect on how each module defines the specific skills needed as an advanced Nurse Practitioner (NP).
Review the ANA guidelines, NP competencies, and the Ethic resources found in this week’s Learning Resources and consider how they impact the work of the NP.
By Day 3
Post a brief explanation about the differences in roles related to Certified Professional Mid-Wife (CPM), Certified Nurse Mid-wife (CNM), Certified Mid-Wives (non-nurse who follows same criteria as a CNM, CM, APR-Ns, and PAs) and how each of these roles might impact the how you practice as a FNP. Be specific and provide examples.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues’ posts on two different days and provide additional insight to your colleagues related to issues and topics they may want to also consider. Use the Learning Resources and/or the best available evidence from current literature to support your explanation.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 3 Discussion
Gynecologic Health
Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, diagnostic approaches, as well as the development of treatment plans.
For this Case Study Discussion, you will review a case study scenario to obtain information related to a comprehensive well-woman exam and determine differential diagnoses, diagnostics, and develop treatment and management plans.
To prepare:
By Day 1 of this week, you will be assigned to a specific case study scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your case study assignment from your Instructor.
Review the Learning Resources for this week and pay close attention to the media program related to the basic microscope skills. Also, consider re-reviewing the media programs found in Week 1 Learning Resources.
Carefully review the clinical guideline resources specific to your assigned case study.
Use the Focused SOAP Note Template found in the Learning Resources to support Discussion.
By Day 3
Based on the case study scenario provided, complete a comprehensive well-woman exam and critically analyze to focus attention on the diagnostic tests then,
Post your differential diagnosis. Include the additional questions you would ask the patient. Be sure to include an explanation of the tests you might recommend, ruling out any other issues or concerns and include your rationale. Be specific and provide examples. Use your Learning Resources and/or evidence from the literature to support your explanations.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of tests you might recommend and explain why. Use your Learning Resources and/or evidence from the literature to support your position.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 4 Discussion
Common Gynecologic Conditions, Part 1
Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, and diagnostic approaches, as well as to the development of treatment plans.
Photo Credit: Teodor Lazarev / Adobe Stock
For this Case Study Discussion, you will once again review a case study scenario to obtain information related to a comprehensive well-woman exam and determine differential diagnoses, diagnostics, and develop treatment and management plans.
To prepare:
By Day 1 of this week, you will be assigned to a specific case study scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
Review the Learning Resources for this week and specifically review the clinical guideline resources specific to your assigned case study.
Use the Focused SOAP Note Template found in the Learning Resources to support your Discussion. Complete a SOAP note and critically analyze this and focus your attention on the diagnostic tests. You are NOT to post your SOAP note. This is for your information only to help you develop your differential diagnosis and additional questions.
By Day 3
DO NOT POST A SOAP NOTE. Post your primary diagnosis. Include the additional questions you would ask the patient and explain your reasons for asking the additional questions. Then, explain the types of symptoms you would ask. Be specific and provide examples. (Note: When asking questions, consider sociocultural factors that might influence your question decisions.)
Based on the preemptive diagnosis, explain which treatment options and diagnostic tests you might recommend. Use your Learning Resources and/or evidence from the literature to support your recommendations.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of diagnostic tests you would recommend and explain your reasoning. Use your Learning Resources and/or evidence from the literature to support your position.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the "Post to Discussion Question" link and then select "Create Thread" to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 5 Discussion
Case Study: Common Gynecologic Conditions, Part 2
Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, diagnostic approaches, as well as to the development of treatment plans.
For this Case Study Discussion, you will propose a case study to your Instructor that demonstrates a gynecological disease process from your practicum experience or your professional practice that would be quite challenging for you as a clinician. Once your instructor approves your case study, you will then explore this case study to determine the diagnosis, diagnostic tests, and treatment options for the patient.
To prepare:
Consider a case study you would like to propose to your instructor related to a patient that demonstrates a gynecological disease process in your practicum experience or professional practice that would be your biggest challenge as a clinician. Note: Possibly use your “FNP or AGPCNP Skills and Procedures Self-Assessment” in your practicum experience to guide your case study selection.
Review the Learning Resources for this week and specifically review the clinical guideline resources specific to your proposed case study.
Use the Focused SOAP Note Template found in the Learning Resources to support Discussion.
By Day 1
Email your Instructor with your proposed case study for approval. Once approved, you may move on to your Day 3 Discussion post.
By Day 3
Based on your approved case study, post the following:
Describe your case study
Provide a differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.
Define what you believe is the most important diagnosis. Be sure to include the first priority in conducting your assessment.
Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.
Also, share with your colleagues your experiences as well as what you learned from these experiences.
Use your Learning Resources and/or evidence from the literature to support your thinking and perspectives.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of tests or treatment options your colleagues suggested and why. Use your learning resources and/or evidence from the literature to support your position.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 7 Discussion
Health Conditions and Implications for Women
Some health issues, including heart disease, depression, and autoimmune disease, present more frequently in women than in men. Others, including ovarian cancer and pregnancy issues, are obviously exclusive to the female population. Nurse practitioners focused on women’s healthcare become well-versed in these health issues and apply their expertise to helping to screen for and offer care for patients with these conditions.
For this Discussion, you will select a specific women’s health issue. You will research this issue, and share common symptoms, recommended diagnostic tests, and common treatments.
To prepare:
Review the Learning Resources for this week and consider the different types of women’s health issues.
Choose a women’s health issue from the following list and once you have selected an issue, search the Walden Library and/or the Internet regarding the health issue symptoms, diagnostic tests, and common treatments:
Osteoporosis
Bladder Issues
Pre-diabetes
Thyroid
Hypertension
Seizure Disorders
Psychiatric Disorders
Part 1: By Day 3
Based on the issue you chose, post a description of the issue you chose and your explanation of common symptoms, recommended diagnostic tests, and common treatments. Be specific and provide examples. Use the evidence from your search of the literature to support your explanation of the woman’s health issue you chose.
Part 2: By Day 5
Next, post your responses to the following questions related to the issue you wrote about in Part 1.
Osteoporosis – What are your options for primary prevention? How would you educate someone on the treatment?
Bladder Issues – What exactly are the symptoms? What about Interstitial cystitis (IC) and pelvic pain?
Thyroid – What symptoms occur in women? What can you discern from that? What about infertility?
Pre-diabetes – Are there menstrual irregularities? What types of medication are they taking? What about pregnancy plans?
Hypertension – What medications are appropriate for a woman of reproductive age? Should you counsel the woman on appropriate dieting?
Seizure Disorders – What special implications do you need to consider in this particular population?
Psychiatric Disorders –Specify the types of disorders i.e., anxiety/depression/substance abuse/eating disorders
Read a selection of your colleagues’ responses.
By Day 7
Respond to at least two of your colleagues’ posts on two different days and provide additional insight that might be useful and appropriate for the issue addressed. Use your learning resources and/or evidence from the literature to support your position.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 8 Discussion
Common Health Conditions with Implications for Women
Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, and diagnostic approaches, as well as to the development of treatment plans.
For this Case Study Discussion, you will propose a differential diagnosis with a minimum of 3 possible conditions or diseases. You will prioritize these diagnoses and explain which you would recommend.
To prepare:
By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
Review the Learning Resources for this week as well as Weeks 5 and 6 and specifically review the clinical guideline resources specific to your assigned case study.
Use the Focused SOAP Note Template found in the Learning Resources to support Discussion.
By Day 3
Based on your assigned case study, post the following:
Provide a differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.
Define what you believe is the most important diagnosis. Be sure to include the first priority in conducting your assessment.
Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of tests or treatment options your colleagues suggested and why. Use your learning resources and/or evidence from the literature to support your position.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 9 Discussion
Working Through Ethical Dilemmas and Other Issues in Advanced Nursing Practice
The Discussion for this week is to provide you an opportunity to discuss with your colleagues the case studies presented in the interactive media program. These case studies involve ethical dilemmas or other issues encountered in advanced nursing practice.
Photo Credit: WavebreakmediaMicro / Adobe Stock
By Day 3
To prepare:
Review the interactive case studies in the this week’s Learning Resources. Select one of the cases to prepare your discussion post. Your post should address the following:
Summary of your chosen case study
What is your differential diagnosis?
Why did you make this diagnosis decision?
What is your treatment plan?
What evidence-based research can you provide to support your decision (choice for differential diagnosis and plan/intervention)?
What resources did you use to meet your best practice guidelines?
Address the ethical dilemmas and/or other issues for your case study:
Ethical issues
Psychological issues
Physical issues
Financial issues
By Day 6
Respond to at least two of your colleagues’ posts (from a different group) on two different days and provide additional insight that might be useful and appropriate for the issue addressed. Use your learning resources and/or evidence from the literature to support your position.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 1 Assignment
Taking a Health History: Building a Health History: Asking Difficult Questions
Much of an archeologist’s work is done under the mantra “proceed with caution.” Archeologists must dutifully secure permissions to access sites. They also must exercise extreme caution when excavating or analyzing in a lab to avoid potential damage to historical artifacts. Likewise, nurse practitioners must proceed with caution when building a patient’s health history. Important questions can be difficult for both nurse and patient. Care must be taken to approach such questions with dignity, tact, and respect to create an environment conducive to productive conversations.
For this Assignment, you will develop a script to be used to interview a volunteer serving in the role of patient.
To prepare:
Review the Ewing (2004) questionnaire found in this week’s Learning Resources and consider the difficult questions you might have to ask when you take a patient’s health history.
Review the screening tools found in the Learning Resources and consider how you might use an app or tool to assist in screening.
Review the media programs related to a vaginal exam, pap test, and breast exam.
Review the health history guide presented in Chapter 6 of the Schuiling & Likis (2017) text and consider how you would create your own script for building a health history. (Note: You will also find the Health History Form in Chapter 6)
Describe the components of a complete gynecologic health history. Include considerations for special populations such as LGBTQ+ individuals.
What health maintenance guidelines should be included for initial and follow up might be needed for follow-up assessments? (i.e., bone density test, Gardasil vaccine, shingles, etc.)?
What questions would you consider in your patient’s assessment? For example
What is your patient’s living situation?
Do they have stairs?
Do they live by themselves?
Do they have a working refrigerator?
Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your patient be more comfortable). As you create your script, consider the difficult questions you want to include in your script.
Assignment: (1- to 2-page reflection)
In addition to your script for building a health history for this assignment, include a separate section called “Reflection” that includes the following:
A brief summary of your experiences in developing and implementing your script during your health history.
Explanations of what you might find difficult when asking these questions. What you found insightful and what would you say or do differently.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 1 Knowledge Check
There is no one legal definition of rape, which means:
Clinicians must learn their own state’s definitions and statutes.
It is easier to monitor the incidence of sexual violence in the nation.
It may be considered a social problem, not a public health problem.
Measuring risk and identifying protective measures is a simple task.
What is one of the most frequent reasons women visit their clinician?
Pregnancy
Intimate Partner Violence
Changes in menstrual cycle Prevention and wellness
What is the USPSTF recommendation regarding firearms?
Remove from homes with children under the age of 10 Store in locked compartments
Remove from home, or store unloaded in locked compartments
Remove from private homes
Which is not a common cause of death in women in the United States?
Breast cancer Cardiovascular disease
Thyroid disease
Lung cancer
Why is acknowledging the oppression of women more difficult within Western societies?
The multiplicity of minority groups complicates the issue.
The availability of health care makes acknowledgment more difficult.
The diversity of the news media clouds the issue. Affluence and increased opportunities mask oppression.
What had been a significant problem in medical research well into the 1990s?
The focus on randomized clinical trials over epidemiological investigations
The lack of representation of women in research trials
The lack of research related to gynecology
The focus on randomized clinical trials over observational research
Which of the following factors associated with increased risk for developing osteoporosis appears to be the best predictor of risk?
Smoking
Low body weight Sedentary
lifestyle Family history
Routine HPV vaccination is recommended for girls of what age?
8–9
13–
14
6–7
11–
12
A risk factor that could lead to endometrial cancer is:
Early menopause
Late menopause
High blood pressure
Cervical cancer
Which of the following is considered primary prevention?
Targeted immunization
Services that limit an existing disability Routine laboratory screening Rehabilitation
The most effective means of obtaining the history of abuse is to use a communication model that:
Avoids having the patient’s children present during the discussion
Signals someone is interested, and that the woman is not alone
Emphasizes the belief that violence is not acceptable, no matter what the batterer might have said to the patient
Allows the patient to talk without interruption and with time to relate, emphasize, and repeat her full story
Which cancer has the highest mortality rate of all gynecological cancers?
Vulvar cancer
Endometrial cancer
Cervical cancer
Ovarian cancer
According to Centers for Disease Control and Prevention (CDC) more than
women experience IPV.
one in two every other one
one in ten
one in four
Which is an important historical question for a 29-year-old woman in clinic for right-sided weakness?
Use of thyroid medications
Recent childbirth
History of recent sexual activity History of pelvic inflammatory disease
Gender differences in heart disease can be found in:
Diagnosis
Treatment
Identification of symptoms All the above
Which one of the following statements about intimate partner violence (IPV) is false?
It refers to an escalating pattern of abuse.
It includes emotional abuse, such as disregarding what a woman wants.
It includes using physical force to make a woman engage in a sexual act against her will.
It refers to a current or former spouse or dating partner of the opposite sex, not someone of the same sex.
In respect to an evidentiary examination:
The patient may not withhold consent if the clinician is a mandated reporter.
The clinician is required to strictly follow local agency protocols, no others.
The time frame within which it must take place depends on local standards.
Maintaining the chain of custody of all evidence collected is recommended, not required.
BRCA1 and BRCA2 is associated with what type of cancer?
Breast Ovarian
A and B
None of the above
What should be the clinician’s first objective after learning the chief reason the woman desires care?
To give the reason or problem a structural and chronological framework
To probe for any additional concerns missed
To take a family history related to the presenting concern
To gain insight into the woman’s cultural and social influences
Which one of the following statements about genital trauma associated with rape is false?
No method currently available can differentiate genital trauma caused by rape from tampon use.
There is a clear need for studies to determine specific patterns of genital injury.
Few victims sustain significant genital trauma because of a sexual assault.
The absence of genital trauma proves consent.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 2 Knowledge Check
Patients presenting for STI treatment should be screened for HIV:
At each visit
At the end of treatment
At the beginning of treatment
Each year
Women who have had toxic shock syndrome should be instructed avoid:
removing barrier contraception within
24 hours
high absorbency tampons
low absorbency tampons Oral antibiotics
Some terms that have been used to describe menstruation include all the following except:
my red flag my rag
the curse my BFF
You should never treat a patient with HSV 2 symptoms after 72 hours.
True
Fals e
Menstrual cycle usually occurs around what age for girls?
12 and 15 years
6 and 12 years
after 15 years of age
6 to 8 years
What test should be ordered for a woman who is experiencing abnormal uterine bleeding (AUB) as well as headaches and peripheral vision changes?
Thyroid-stimulating hormone
test
Nucleic acid amplification test
Complete blood count Prolactin level test
What is the danger of giving estrogen replacement therapy (ERT) to menopausal women with an intact uterus?
A higher risk of heart disease
An increased likelihood of blood clots
An increased likelihood of osteoporosis
A higher risk of endometrial cancer
What is the most common type of UTI that affects women?
Acute bacterial cystitis
Pyelonephritis
Asymptomatic bacteriuria
Pyelitis
Research suggests a link between PMS and:
Seasonal affective disorder
Celiac disease
High blood pressure Hypoglycemia
What is the definition of primary amenorrhea?
The cessation of menses for an interval of 6months
The failure to begin menses by age 14
The cessation of menses due to outflow tract obstruction
The failure to begin menses by age 16
Genital HPV infection is very common and can be transmitted through:
vaginal anal oral
all of the above
What is the most common symptom of bacterial vaginosis?
Vaginal itching and/or burning
Cottage cheese like discharge
Fishy odor Yeasty odor
The second most commonly reported STI is:
Gonorrhea
Pelvic inflammatory disease
Syphilis Hepatitis B
Fever associated with pyelonephritis will usually resolve within how many hours of treatment with antibiotics?
24hours
12hours
72hours
80hours
Hyperandrogenism in reproductive-age women is most frequently associated with:
Hyperthyroidism
Polycystic ovary syndrome
Ovarian cancer Diabetes
Why shouldn’t symptoms such as bloating, and breast tenderness be considered disordered perimenstrual symptoms?
Because only a small minority of women have these symptoms
Because these symptoms affect the majority of women
Because these symptoms do not affect women’s moods
Because it is not possible to quantify these symptoms
The most common site for endometrial implants found in other parts of the body is:
The appendix The uterus
The ovaries
The fallopian tubes
Gonadotropin hormone-releasing agonists are recommended for only short-term use to treat heavy bleeding due to:
Their many side effects, such as hot flashes The fact that they cause amenorrhea
The fact that they are poorly understood
Their poor interaction with hormonal contraception
Which of the following is one of the key criteria for a diagnosis of PMS?
The symptoms markedly interfere with occupational functioning. One of the symptoms is depressed mood, anxiety, or irritability.
Exclusion of other diagnoses that may better explain the symptoms.
The symptoms are confirmed by prospective daily ratings over at least two menstrual cycles.
How can liver and renal diseases result in abnormal uterine bleeding (AUB)?
They cause an imbalance in platelet aggregation.
They result in an inability to adequately clear estrogen from the body.
They cause thyroid dysfunction, which leads to bleeding abnormalities.
They result in elevated prolactin levels, which lead to bleeding abnormalities.
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Module 3 Knowledge Check
What is now thought to be the most important causative agent in cervical cancer?
PCOS
Vulvar cancer Herpes simplex
HPV
An 18-year-old sexually active female comes to clinic and asks how often she should obtain a pap smear. Your best response is:
You should wait until you are between the ages of 21 and 29 years old.
You should have a Pap test every 3 years beginning at 21 years of age
You do not need a Pap test you are too young right now give yourself more time
You can have an annual pap test beginning at age 18 or within six months of first sexual intercourse
The form of assisted reproductive technology that requires fertilization to occur within a patent fallopian tube, instead of a laboratory dish, is called:
Intracytoplasmic sperm injection
(ICSI)
Gamete intrafallopian transfer (GIFT) Zygote intrafallopian transfer (ZIFT) In vitro fertilization (IVF)
Mammary duct ectasia:
Is one of the most common causes of milky nipple discharge
Like intraductal papilloma, is typically unilateral and uniductal
Usually occurs in women 20 to 35 years of age Discharge may be green, brown, or black in color
A 40-year-old white female mother died from ovarian cancer. The patient is asking the nurse practitioner, is there a way to prevent ovarian cancer?
There is nothing you can do to prevent cancer because you have a genetic predisposition for the disease.
You can prevent ovarian cancer by having a tubal ligation.
There are factors that inhibit ovulation that can reduce the risk of developing ovarian cancer.
None of the above
The most common benign breast masses are:
Galactoceles Hamartomas
Fibroadenomas and cysts
Lipomas and phyllodes tumors
A 50-year-old Hispanic female reports to clinic with nipple discharge for one month. She describes the discharge as occurring in both breasts and is clear in color.
The NP should suspect nipple discharge is associated with breast feeding
Nipple discharge is associated with breast cancer
Nipple discharge is associated with taking hormonal therapy
Nipple discharge is associated with taking calcium channel blocker
A nurse practitioner suspects a patient may have vulvar cancer based but is uncertain what are some possible differential diagnoses based on NPs suspicion.
Vulvar candidiasis Vulvar vaginitis
Vulvar psoriasis HSV 2
Signs of endometrial or cervical cancer may present abnormal uterine bleeding, often as heavy, prolonged bleeding or:
Menometrorrhagia Amenorrhea Oligomenorrhea Polymenorrhea
If a woman is complaining of bilateral, milky nipple discharge, the clinician is to first:
Perform a pregnancy test
Perform a mammogram and an ultrasound of the breasts
Assess the sella turcica with magnetic resonance imaging (MRI)
Obtain a serum prolactin level and a thyroid-stimulating hormone (TSH) measurement
The most common sites of metastatic spread of invasive breast cancer include all of the following except:
Bones Lungs
Pituitary Lymph nodes
Cyclic mastalgia:
More likely causes unilateral, localized pain that is sharp or burning in nature
Has an increased risk of occurrence in women whose diets are low in fat
Occurs most frequently in women who are 18 to 30 years old Is caused by hormonal changes associated with menstruation
What is one factor that can reduce the risk for the development of ovarian cancer?
Multiple pregnancies Transvaginal ultrasounds Identification of recurrence Weight loss
Qualitative urine testing for hCG (human chorionic gonadotropin) can be done reliably days after implantation of the blastocyst (fertilized egg).
0–7 days
7–9 days
9–14 days
14–24 days
Among women age 55 years and older:
Macromastia is the most common cause of breast masses.
Breast masses are presumed malignant until proven otherwise.
Most breast masses decrease in size over time and many resolve completely.
Diagnostic imaging of a breast mass and tissue sampling should be deferred.
A 30-year-old bisexual female is asking about treatment for uterine fibroids. She is asking you about treatment options. The NP knows that:
Uterine fibroids are associated with sexual activity
Since the patient is gay, she should opt to have a hysterectomy
MRI with guided ultrasound Uterine artery embolization
The possibility of cancer is associated with mastalgia when the pain:
Occurs in perimenopausal women who are receiving HT
Is accompanied by skin changes or palpable abnormality
Is felt in both breasts equally and is related to a cyclic pattern
Is reproducible with palpation of the chest wall
The infertility evaluation is an opportune time to suggest health promotion behaviors that may specifically improve fertility, including:
Achieving a BMI in the range of 30 to 35, if the woman is under- or overweight
Reducing alcohol consumption to about 4 drinks per week
Reducing caffeine consumption to no more than 350 per day None of the above
Which of the following is a preventive measure for vulvar cancer?
Avoiding exposure to HIV
Not smoking
There is no way to prevent it. Colposcopy
A 24-year-old female reports to clinic with wanting to start a contraceptive method. She has a heavy menses and dysmenorrhea. Also, she travels a lot for work. The NP will more than likely recommend what type of contraception for this patient?
Oral contraceptive progestin only
Depo-Provera
Oral contraceptive estrogen only None of the above
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NRNP6552 Advanced Nurse Practice in Reproductive Health Care
Week 1 Assignment
