Essentials of Maternity, Newborn, and Women's Health Nursing, 5th Ed., Ricci, 2020 | Registered Nurse (RN) School Study Aid
Infertility
- No Conception After 1 Year
- Artificial Insemination
- In Vitro Fertilization (IVF)
- Clomiphene Citrate (Clomid)
- Menotropins
- GnRH Agonists
- Treat Underlying Disorders
- Emotional Support
- Multiple Gestations
Tamoxifen
- Selective Estrogen Receptor Modulator (SERM)
- Antagonist on Breast Tissue
- ER-positive Breast Cancer
- Decreased Risk of Osteoporosis
- Increased Risk of Endometrial Cancer
- Increased Risk of Venous Thromboembolism (VTE)
Menopause Lab Findings
- Decreased Estrogen
- Lack of Negative Feedback
- Increased FSH
- Increased LH
- Increased GnRH
- Small Amount of Estrogen From Androgen Conversion
- Increased Androgens = Hirsutism
Ibuprofen (Advil, Motrin)
- NSAID
- COX Inhibitor
- General Pain
- Fever
- Inflammatory Conditions
- GI Ulcers
- Nephrotoxicity
- Rash
- Avoid with Alcohol
- Risk of Thrombotic Event
Endometriosis
- Endometrial Tissue Outside Uterus
- Retrograde Menstrual Flow
- Dysmenorrhea
- Cyclic Pelvic Pain
- Irregular Vaginal Bleeding
- Pain with Defecation
- Dyspareunia
- Medications to Decrease Ovulation
- NSAIDs
- Surgery
Pelvic Inflammatory Disease (PID) Assessment
- Untreated Cervicitis
- May Be Asymptomatic
- Dysuria
- Vaginal Discharge with Odor
- Fever
- Dyspareunia
- Lower Abdominal Pain
- Spotting
- Cervical Motion Tenderness
Pelvic Inflammatory Disease (PID) Interventions
- Antibiotics
- No Intercourse for 3 Weeks
- Semi-Fowler's Position
- Analgesics
- Monitor Temperature
- Treat Partners
Cervical Cancer Screening
- Women Aged 21-65 Years
- Pap Smear Every 3 Years
- Women Aged 30-65 Years
- Can Opt for Co-testing (Pap Smear + HPV Testing) Every 5 Years
- Identify Lesions
- Cryotherapy
- Loop Excision
- Cold Knife Conization
Cervical Cancer Assessment
- Human Papillomavirus (HPV)
- Metrorrhagia
- Leukorrhea
- Pain
- Abnormal Pap Test
- May Be Asymptomatic
- HPV Vaccine
Dysfunctional Uterine Bleeding
- Bimodal Age Distribution
- Painless Vaginal Bleeding
- Amenorrhea
- Menorrhagia (Heavy Menstrual Bleeding)
- Metrorrhagia (Bleeding Between Menses)
- Balloon Thermotherapy
- Hormone Medications
- Dilation and Curettage (DandC)
- Monitor for Anemia
Vaginitis
- Infection
- Postmenopausal Atrophy
- Vaginal Discharge
- Pruritus
- Antifungals (Miconazole, Clotrimazole)
- Antibiotics
- Estrogen Hormones
- Abstinence
- Good Hygiene
- Recurrent Vaginitis