*NURSING > EXAM > FNP: Women's Health (All)

FNP: Women's Health

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Breast Cancer - Annual breast exam: age > 40 years Risks: menarche < 12 years, menopause > 55 yrs Estrogen supplementation Dx: Mammography for > 30 with breast complaint. If suspicious, make sure t... o order b/l diagnostic mammogram US differentiates fluid-filled cyst from solid mass. Used in pregnancy and age < 30 Fibroadenoma - Most common in < 25 years Order US to dx Normal vaginal pH - 4.0 (acidic) Contraception - Combined OCs: Absolute contraindications include hx of DVT, CVA, CAD, DM, pregnancy, gyn bleeding, age > 35 with HTN or DM, LDL > 160, trigs >250. Remember ACHES (abd pain, chest pain, HA, eye problems, or severe leg pain) Progestin only: good choice for lactating women, women with CV risks. If pill is 3h late, r/o pregnancy rises Depo-Provera: no effect on milk production, long return to ovulation Contraindication for COC (Combined OC) use? - factor V Leiden mutation No contraceptive benefits of OC increase a decrease in all of the following: - IDA, PID, ovarian cancer All of the following are relative contraindication in copper-containing IUD: - valvular heart dx, multiple sexual encounters, lack of follow-up care COC - -no contraceptive benefits include lower rates of benign breast tumors, dysmenorrhea, decreased IDA, endometrial, ovarian and breast cancers. [Show More]

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