Discussion

Textbooks needed for this assignment:

Fantasia, H.C., Harris, A.L., & Fontenot, H.B. (2020). Guidelines for nurse practitioners in
gynecologic settings (12th ed.) New York, NY: Springer.

Schadewald, D. M., Pritham, U.A., Youngkin, E. Q., Davis, M. S., & Juve, C. (2020). Women’s health: A primary care clinical guide (5th ed.) Pearson.

 

Discussion Post Questions

1.Initial Post

You are about to perform a well-visit gynecological exam on a 22-year-old woman who has never had a Pap smear or vaginal exam. How will you make this patient understand and be comfortable with the exam? How will you explain the tests required? Defend your answer by citing one or two articles from nursing research journals that you have found from the Bradley Library.

 

 

  1. Initial Post

Your first patient today is clearly in an abusive relationship. This patient refuses to prosecute her abuser, refuses to leave the relationship, and has three small children. Look up your state law regarding abuse and your responsibility to your patient. How will you treat this patient? What is important to record/document? Is a referral indicated?

 

 

  1. Initial Post

Using p. 129 in your Fantasia, et al. text, select one of the six reasons that women elect to have sterilization scheduled. Then:

  • Describe a typical patient who chooses sterilization for this reason.
  • Aside from the questions in your textbook, what other questions would you ask?
  • What labs should you order preoperatively?
  • What follow-up teaching would be involved?

 

 

 

  1. Initial Post

Select three of the ten types of histories (A–I) listed between pp. 134–137 of your Fantasia, et al. text. Imagine that your patient has some positive history in each of these three areas. For example, if you select genetic history, your patient may have a family history of cystic fibrosis.

  • How will you educate your patient about these risks/concerns?
  • What testing may be required?
  • Will you need any referrals?
  1. Initial Post

Select one of the common complaints listed on pp. 465–481 of your Schadewald et al. text.

  • Describe your patient’s demographics (age, weight, height, nationality, socioeconomic status).
  • Identify which trimester she is in.
  • List subjective and objective data.
  • Provide a differential diagnosis.
  • Identify a treatment and intervention plan.

 

 

  1. Your patient has one of the pregnancy complications described in the chapter. Describe the following:
  • Your patient’s demographics (age, weight, height, nationality, socioeconomic status).
  • Etiology of the condition.
  • Subjective and objective data.
  • Any screening/labs required.
  • Differential diagnosis.
  • Plan for treatment.

 

 

  1. Initial Post

In the “Normal Pregnancy Complications” media piece, you saw and treated four women with pregnancy complications.

  • Identify which patient you found to be the most challenging to treat.
  • Describe what you could have done differently with that patient.
  • Be sure to support your discussion with one journal article.

 

 

 

  1. Initial Post

Select one of the common disorders mentioned in Chapter 16 of your Youngkin text. Assume you are seeing a patient with that disorder.

  • Describe your patient (demographics, vitals, weight).
  • List subjective and objective data.
  • Provide two differential diagnoses.
  • Suggest appropriate intervention (pharmaceutical or non-pharmaceutical).
  • Describe appropriate follow-up.

 

  1. Initial Post

Your first patient of the day is following up after lab work. She is positive for HIV.

  • Describe your patient.
  • Identify specifically what lab work and diagnostic testing indicates she has active HIV.
  • Describe one self-care strategy you would share with this patient.
  • Describe what contraception you would recommend.

 

  1. Initial Post

Select one of the 14 different pelvic disorders listed in Chapter 16 of your Youngkin text. Then:

  • Describe your patient (demographics, vitals, weight).
  • List subjective and objective data.
  • Provide two differential diagnoses.
  • Suggest appropriate intervention (pharmaceutical or non-pharmaceutical) and follow-up. Using the BU Library, find an article to support your evidence-based treatment (either pharmaceutical or non-pharmaceutical).

 

  1. Initial Post

Describe a patient who comes to you with what you believe is interstitial cystitis. Be sure to include:

  • Two other differentials
  • Appropriate labs
  • Treatment if appropriate
  • Referral if appropriate
  • Follow-up visit

 

  1. Initial Post

Select a patient who is experiencing hypoestrogenic changes and describe:

  • Demographic patient data.
  • Subjective and objective data with which she presents.
  • Differential diagnosis to also consider.
  • Your plan and follow-up.

 

  1. Initial Post

Select one of the five alternative family building methods listed on pp. 293-294 in your Schadewald et al. text.

  • How would you describe the patient (couple) who has come in requesting the method you have selected?
  • What stress management might be in order?
  • Will a referral be needed?
  • What subjective and objective data does your patient present with?

Give your thoughts on future trends and controversies mentioned:

  • How will these affect healthcare?
  • How will these affect fertility?

 

 

 

 

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