NR 602 NR (- NTRS 4150)

Amenorrhea (Primary and Secondary) Primary and Secondary Amenorrhea  Primary amenorrhea: No menarche by the age of 15 years (with or without development of secondary sexual characteristics). Half of cases are caused by chromosomal disorders (50%) such as Turner syndrome.  Puberty is delayed if there is no breast development by age 13 years, absence of pubic hair at age 14 years, and no menarche by age 15 years.  Secondary amenorrhea: No menses for three cycles, or 6 months if prev...

1. Turner’s syndrome can be suspected when the patient has primary amenorrhea and Short stature and webbed neck 2. A 21-year-old woman comes into your practice seeking birth control. She has only recently become sexually active and has consistently used condoms for safe sex. Your history reveals that she does not use tampons during her menses and has very little knowledge about female reproductive anatomy. Based on this information, which of the following birth control choices would b...

Patient Health Questionnaire (PHQ – 9) – Depression Screening The Patient Health Questionnaire (PHQ – 9) depression screening tool is widely used in screening patients for depression in nonpsychiatric settings (Manea, Gilbody, & McMillan, 2015). It integrates DSM-IV depression diagnostic criteria with other leading major depressive symptoms into a short self-report tool. The screening rates the frequency of the symptoms, whole factoring the scoring severity index. One of the most impo...

Nr 602 final topics Week 8: ACOG guidelines regarding well women exams ACOG Pap smear guidelines Start @ 21, every 3 Age 30+ PAP & HPV repeat every 5 if negative (co-test) or 3 yr no co-test @65 may stop if (-) hx for 10 yrs or hysterectomy w/o hx of cancer Amenorrhea (Primary and Secondary) Primary and Secondary Amenorrhea  Primary amenorrhea: No menarche by the age of 15 years (with or without development of secondary sexual characteristics). Half of cases are caused by chromosoma...

602 final study guide Women’s Health Study Topics Week 5: Abnormal/Dysfunctional Uterine Bleeding AUB refers to uterine bleeding that is excessive, prolonged, or unpatterned. It can be described as follows: Polymenorrhea: Fewer than 21 days between menses Menorrhagia: Normal intervals with excessive flow or duration of menses Metrorrhagia: Irregular frequency of cycles with bleeding between cycles Menometrorrhagia: Excessive amount of bleeding with irregular frequency of cycles Treatmen...

. Amenorrhea (Primary and secondary)  Abmormal uterine bleeding has multiple causes. When a women presents and reports menstrual irregularity with amenorrhea , which is the most common cause of amenorrhea?  Anovulation  A teenage patient presents with amenorrhea and normal secondary sex characteristics. A progesterone challenge is ordered. The purpose is to determine the presence of  Endogenous estrogen  A nurse practitioner is caring for a woman with primary and secondary ...

ACOG guidelines regarding well women exams What is the ASCCP recommended management for an ASCUS (atypical squamous cells of undetermined significance) pap result with a positive high-risk HPV 16 cotest in a 26-year-old woman without a history of abnormal pap smears?  Colposcopy A well-woman visit for an adolescent should include which of the following?  A general health history focusing on reproductive and sexual health concerns (menses, gynecologic, and pregnancy related) and psyc...

Signs of pregnancy presumptive (subjective signs) Amenorrhea, nausea, vomiting, increased urinary frequency, excessive fatigue, breast tenderness, quickening at 18–20 weeks probable (objective signs) Goodell sign (softening of cervix) Chadwick sign (cervix is blue/purple) Hegar’s sign (softening of lower uterine segment) Uterine enlargement Braxton Hicks contractions (may be palpated by 28 weeks) Uterine soufflé (soft blowing sound due to blood pulsating through the placenta) Integ...