Family Nurse Practitioner II
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Class Date
Content Outline
Crystal Smith, Lecturer
A. Women's Health Practice framework
B. Scope of Practice
II. Women's Health General Issues
A. Annual Exam
B. Thin Prep Pap
1. Technique
2. Cervical appearance
3. Risk analysis
4. Classification system
5. Interpretation algorithm
6. Follow-up care and treatment
7. HPV and vaccine implementation
C. Breast health
1. Breast exam
2. Benign breast disorders
3. Malignancy
D. Pelvic pain
1. Chronic pelvic pain
2. Endometriosis
3. Adenomyosis
4. Pelvic inflammatory disease
5. Dyspareunia
6. Adhesions
E. Pelvic masses
1. Uterine enlargement
a. Leiomyomas
b. Adenomyosis
c. Pregnancy
2. Adnexal masses
a. Endometromas
b. Cysts
(1) Functional: follicular,
Corpus luteum
(2) Benign: Cystic, teratoma,
dermoid cyst
3. Cervical/vaginal
a. Polyps
b. Nabothian
F. Female cancers
1. Cervical
2. Uterine
3. Ovarian
4. Vulvar/Vaginal
5. DES Exposure
Crystal Smith, Lecturer
A. Controlling fertility
1. Selecting a method
2. Available methods
a. Fertility awareness
b. Coitus interruptus
c. Vaginal spermicides
d. Barrier methods
(1) Condoms: male and female
(2) Diaphragm
(3) Cervical cap
e. IUDs
f. Oral contraceptives/"emergency
contraception"
g. Depo-Provera
h. Implanon
i. Abstinence
j. Sterilization: Tubal ligation, Essure,
Male vasectomy
k. Contraceptive vaginal ring
l. Contraceptive patch
B. Infertility
1. Female disorders
2. Male disorders
3. Combined factors
4. Treatment options
5. Psychological issues
6. Adoption
7. Recurrent loss
C. Abortions
1. Spontaneous
2. Elective abortion
3. Recurrent
Crystal Smith, Lecturer
VII. Obstetrics
A. Overview of genetics
B. Embryology
C. Fetal growth
D. Preconception counseling
E. Antepartum care
F. Initial prenatal visit
G. Initial obstetric exam
H. Initial prenatal labs
I. Obstetric visits
J. Commonly recommended tests
K. Risk assessment
L. Promoting a health pregnancy
1. Adolescent
2. Advanced maternal age
3. Multiple gestation
M. Nutrition and weight gain
N. Common complaints of pregnancy
O. Complications of pregnancy
1. Bleeding
2. Pregnancy-induced hypertension (PIH)
3. Gestational diabetes
4.
Preterm labor (PTL)
5.
Infections
P. Postpartum care
1. Assessments
2. Contraception
3. Postpartum infection
4. Postpartum depression
5.
Postpartum hemorrhage
6. Adjustment to parenting
7. Breastfeeding
8. Bottle-feeding
9. Perinatal loss
Crystal Smith, Lecturer
CASE STUDIES
Genny Petersen, Lecturer
A. Normal menstrual cycle
1. Menarche
B. Abnormal menstrual cycle
1. Delayed menarche (primary amenorrhea)
2. Amenorrhea (secondary amenorrhea)
algorithm
3. Oligomenorrhea
4. Polymenorrhea
5. Dysmenorrhea
6. Menorrhagia (HTA)
7. Dysfunctional uterine bleeding (DUB)
8. Polycystic ovaries/polycystic ovarian
syndrome (PCOS)
9. Premenstrual syndrome/premenstrual
dysphoric disorder (PMS/PMDD)
10. Toxic shock syndrome (TSS)
IV. Female Hormones
V. Adolescent
A. Physical exam differences (Tanner/Growth
Chart)
B. Initial gyne exam recommendations
C. Eating disorders/Nutrition
D. Safe sex practices/Abstinence
E. Parental consent/How to guide the exam
F. Age-appropriate safety issues: Seatbelt,
binge drinking, street drugs, dating
G. Anatomy: Tampon use, Exam explanation
Genny Petersen, Lecturer
G. Vaginal Issues
1. Vaginitis
a. Bacterial vaginitis
b. Candidiasis
c. KOH/Wet Prep; pH; Whiff test
2. Sexually transmitted diseases
a. Trichomoniasis
b. Chlamydia
c. Gonorrhea
d. Syphilis
e. Hepatitis B
f. Hepatitis C
g. Herpes simplex virus
h. Human papilloma virus
i. Molluscum contagiosum
j. Pediculosis pubis/scabies
k. Cervicitis
3. Bartholinitis
H. Vulvar Issues
1. Vulvodynia
2. HPV
3. Folliculitis
I. Urogyne Health
1. UTIs
2. Urinary incontinence
3. Pelvic relaxation syndrome
4. Rectocele/cystocele/uterine prolapse
5. Urogynecologic surgeries
6. Pessaries
7. Sexual dysfunction
Genny Petersen, Lecturer
A. Physiology/Hormones/Definition of
B. Common symptoms
1. Psychological changes
2. Sleep disorders
3. Vasomotor symptoms
4. Atrophic vaginitis
5. Metabolism changes
6. Cognitive changes
C. Osteoporosis screening/treatment
D. Management of menopause
1. Pharmacological: ERT, HRT, SERMS,
bioidentical
2. Nonpharmacological
IX. Other Female Health Concerns
A. Cancer screening recommendations
B. Coronary artery disease
1. Screenings
2. Lipid Management
C. Heart disease risk and prevention
D. Metabolic syndrome
E. Nicotine dependence
F. Weight loss management
G. Psychosocial health concerns
1. Stress
2. Depression/anxiety
3. Abuse of women
4. Family dynamics/self image
5. Substance abuse
6. Self care
Final Exam Review
Genny Petersen, Lecturer
FINAL EXAM
Page last updated Saturday, April 23, 2011
Denise D. Wilson, PhD, APN, FNP, ANP
Mennonite College of Nursing
Illinois State University
Campus Box 5810
Normal, IL 61790-5810
Office: Edwards 220
Phone: (309) 438-2358
Fax: (309) 438-2288
E-mail: ddwilso2@ilstu.edu
Internet: http://www.ilstu.edu/~ddwilso2Copyright © 2000: Denise Wilson, Mennonite College of Nursing, Illinois State University. All rights reserved.