NRNP_6552 Advanced Nurse Practice In Reproductive Health Care | Complete Course Solution
NRNP_6552 Advanced Nurse Practice In Reproductive Health Care | Full Course Solved
NRNP_6552 Week 1 Assignment: Taking a Health History: Building a Health History: Difficult Questions
Much of an archeologist’s work is done under the mantra “proceed with caution.†Archeologists must dutifully secure permissions to access sites. They also must exercise extreme caution when excavating or analyzing in a lab to avoid potential damage to historical artifacts.
Likewise, nurse practitioners must proceed with caution when building a patient’s health history. Important questions can be difficult for both nurse and patient. Care must be taken to approach such questions with dignity, tact, and respect to create an environment conducive to productive conversations.
For this Assignment, you will develop a script to be used to interview a volunteer serving in the role of patient.
To prepare:
- Describe the components of a complete gynecologic health history. Include considerations for special populations such as LGBTQ+ individuals.
- What health maintenance guidelines should be included for initial and follow up might be needed for follow-up assessments? (i.e., bone density test, Gardasil vaccine, shingles, etc. NRNP_6552)?
- What questions would you consider in your patient’s assessment? For example
- What is your patient’s living situation?
- Do they have stairs?
- Do they live by themselves?
- Do they have a working refrigerator?
- Create your own script for building a health history and use the Health History Template for guidance (consider the type of language you would use to help your patient be more comfortable). NRNP_6552 As you create your script, consider the difficult questions you want to include in your script.
Assignment:Â (1- to 2-page reflection)
-
- A brief summary of your experiences in developing and implementing your script during your health history.
- Explanations of what you might find difficult when asking these questions. What you found insightful and what would you say or do differently.In addition to your script for building a health history for this assignment, include a separate section called “Reflection†that includes the following: NRNP_6552
https://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6551/02/mm/conversation/index.html
NRNP_6552 Week 1 Discussion: Different Roles of the Nurse Practitioner
The term ‘history†is broad in meaning. Within that broad framework archeologists tend to focus their careers on various specialties and areas of interest, such as specific historical eras or geographical areas.
So it is with nurses. Within the broad framework of healthcare, nurse practitioners focus their careers on various roles. These roles may in part be based on narrower areas of interest such as women’s health. Careers also focus on selected technical nursing specialties.
Photo Credit: Getty Images/Blend Images
For this Discussion, you will explore your professional interests and those interests are addressed in specific guidelines and competencies. You also examine the different nurse practitioner roles related to women’s health and how these roles might impact the way you work.
To prepare:
- Review the modular structure of this course and reflect on how each module defines the specific skills needed as an advanced Nurse Practitioner (NP).
- Review the ANA guidelines, NP competencies, and the Ethic resources found in this week’s Learning Resources and consider how they impact the work of the NP NRNP 6552 Discussion: Different Roles of the Nurse Practitioner.
By Day 3
Post a brief explanation about the differences in roles related to a CRNP, a CNM, and a PA and how each of these roles might impact the how you practice as a FNP. Be specific and provide examples.
Read a selection of your colleagues’ responses.
By Day 6
Respond to at least two of your colleagues’ posts on two different days and provide additional insight to your colleagues related to issues and topics they may want to also consider. Use the Learning Resources and/or the best available evidence from current literature to support your explanation.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question†link and then select “Create Thread†to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
NRNP_6552 Week 3 Case Study Discussion: Gynecologic Health – Charlene Baja
Case Study 1
Charlene Baja is a 22-year-old G0 P0 L0 who presents to the clinic today for burning and discharge for 1 week. She states her boyfriend recently found out he was positive for chlamydia. She denies any other partners besides him.  Her medical history is remarkable for anxiety and depression.  Her surgical histoy is unremarkable. Her social history includes social alcohol, but she denies tobacco and any recreational drugs.
She has no known drug allergies and takes a multivitamin and Srintec daily for oral contraception. Her health history reveals that her mother is alive with breast cancer in remission and hypothyroidism. Her paternal grandfather is alive with prostate cancer. Her sister has type 1 diabetes as well. Her father has HTN, diabetes type 2, and hyperlipidemia.  Charlene has one brother with no medical history.
- Height 5’ 5â€â€¯Weight 148 (BMI 24.6), BP 132/68 P 62
- HEENT:  WNL
- Neck: lymph nodes grossly normal
- Lungs/CV: Chest is clear to auscultation bilaterally, normal respiration, rhythm, and depth upon exam
- Breast: normal breast exam
- Abd: WNL
- VVBSU: WNL
- Cervix: firm, smooth, yellow watery discharge in the large amount present
- Uterus: RV, mobile, non-tender
- Adnexa: WNL
Prepare a focused SOAP note using the attached template.
- Review the Learning Resources for this week and pay close attention to the media program related to basic microscope skills. Also, consider re-reviewing the media programs found in Week 1 Learning Resources.
- Carefully review the clinical guideline resources specific to your assigned case study.
- Use the Focused SOAP Note Template. Complete a FOCUSED SOAP note and critically analyze this and focus your attention on the diagnostic tests.
- APA format and 3 up to date bibliographies for the last five years
Please POST your FOCUSED SOAP NOTE with your differential diagnosis. Include the additional questions you would ask the patient. Be sure to include an explanation of the tests you might recommend, ruling out any other issues or concerns and include your rationale. Be specific and provide examples.
Additional resources link
Examination of Vaginal Wet Preps [Video] Links to an external site.. https://www.youtube.com/watch?v=8dgeOPGx6YI&t=3s
NRNP_6552 Week 3 Case Study Discussion: Gynecologic Health – Contraception Elaine Goodwin
Case study 1
Elaine Goodwin is a 38-year-old G5 P5 LC 6 presenting to your clinic today to discuss contraceptive options.  She states that she is not interested in having more children but her new partner has never fathered a child. Her medical history is remarkable for exercise-induced asthma, migraines, and IBS. Her surgical history is remarkable only for tonsils as a child. Her social history is negative for alcohol, tobacco, and recreational drugs.  She has no known drug allergies and takes only vitamin C. Hospitalizations were only for childbirth.
Family history reveals that her maternal grandmother is alive with dementia, while her maternal grandfather is alive with COPD. Her paternal grandparents are both deceased due to an automobile accident. Her mother is alive with osteopenia and fibromyalgia, and her dad is alive with a history of skin cancer (basal cell). Elaine has one older sister with no medical problems and one younger brother with no reported medical problems.
- Height 5’ 7â€â€¯Weight 148 (BMI 23.1), BP 118/72 Pulse 68
- HEENT (head, ears, eyes, nose, throat):  wnl (within normal limit)
- Neck: supple without adenopathy
- Lungs/CV (cardiovascular): wnl
- Breast: soft, fibrocystic changes bilaterally, without masses, dimpling or discharge
- Abd (abdomen): soft, +BS (positive bowel sound), no tenderness
- VVBSU (Vulvar vaginal bartholin skene’s uretha): wnl, except 1st degree cystocele
- Cervix: firm, smooth, parous, without CMT (cervical motion tenderness)
- Uterus: RV (retroverted), mobile, non-tender, approximately 10 cm,
- Adnexa: without masses or tenderness
Based on the case study scenario provided, complete a comprehensive well-woman exam and critically analyze to focus attention on the diagnostic tests (include explanation of the tests you might recommend).
Include your differential diagnosis. Be specific and provide examples. Use your Learning Resources and/or evidence from literature to support your explanations.
Some questions to answer in your post:
1. What other information do you need?
2. What has she used in the past?  Why did she stop a method?  How many partners in past 12 months?
3. What are her current cycles like?
4. When was her last gyn exam and what were the results of the tests?
5. Are her migraines with or without auras?
6. What method has she considered.
7. What are you next steps/considerations?
8. What teaching should you do?
9. What methods are appropriate for Elaine?
NRNP_6552 Week 4 Case Study Discussion: Common Gynecologic Conditions, Part 1 – Missing Period
Case Study:Â Missed Period
Juanita Morales is a 47-year-old G5P5006, Hispanic female who presents to the office complaining of lower abdominal cramping, and urinary leakage for past day. She states the abdominal cramping, suprapubic, started several hours ago, is sharp, intermittent, and getting more frequent and painful. She tried Motrin but states it did not help. She had a UTI years ago and it was like this, except the incontinence.
She has been more tired for the past several months. She relates she stopped getting her period about 8-12 months ago, and relates her menopause was easy. She relates no medical or surgical history. She has no known drug allergies and takes no medications. Social history is negative for alcohol, tobacco, and recreational drugs. Her last exam was several years ago.
Vital signs: temperature 99.1, BP 140/ 82, pulse 88, respirations 12. Height is 5’ and weight 235 lbs. (BMI 45.89). A clean catch urine was obtained, and the urine dipstick showed SG 1.010, trace blood, neg nitrates, neg leukocytes, negative glucose, 3+ protein. She thinks that maybe she had some vaginal spotting several days ago, but nothing since.
Pt relates that she has had some constipation, and increased gas for past several months. She was using NFP for contraception prior to her stopping her period. No other urinary symptoms reported.
Based on the above case study,  post the following:
- POST A Focused SOAP NOTE only and describe your case study.
- Provide a differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.
- Define what you believe is the most important diagnosis. Be sure to include the priority in conducting your assessment.
- Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.
- Also, share with your colleagues your experiences as well as what you learned from these experiences.
For this Case Study Discussion, you will once again review a case study scenario to obtain information related to a comprehensive well-woman evaluation and determine differential diagnoses, diagnostics, and develop treatment and management plans.
Include the additional questions (additional questions ONLY related to the HPI/CC) you would ask the patient and explain your reasons for asking the additional questions. Then, explain the types of symptoms you would ask. Be specific and provide examples. (Note: When asking questions, consider sociocultural factors that might influence your question decisions.)
Based on the preemptive diagnosis, explain which treatment options and diagnostic tests you might recommend. Use your Learning Resources and/or evidence from the literature to support your recommendations. Your primary diagnosis, additional questions, and types of symptoms are what this assignment and grading is focused on. Your critical thinking for this assignment
References MUST be scholarly!!! (Do not use WebMD, Clevelandclinic.org, mayoclinic.org, etc as these are public websites).
Case Study 2
Case Study: STI Investigation
Susan Lang is a 24-year-old Caucasian female presenting to the clinic for regular care. She works full-time as an administrative assistant, and relates she loves her job. She has no medical or surgical history, takes no medication, and has no allergies. Family history is non-contributary. Social history is remarkable for cigarette smoking at a rate of ½ packs per day (PPD) since age 14, / EtOH only on weekends, 6-8 hard liquor/ daily, and marijuana smoking. Gyn history is onset of menses age 13, menses every 28-32 days, lasting 4-6 day and using 3 tampons daily.
She has some cramping during her menses for which she takes otc Pamprin. She jogs 3-4 times a week, wears seatbelts when in the car, and “occasionally†uses sunscreen. Susan relates she has been having some postcoital bleeding for the past 6 weeks and has had a sore throat for past 3 weeks. She did have a fever for a day or two, but Tylenol took care of it and she thought it was allergies.
Susan’s vital signs are taken and were temperature 97.8, pulse 68, BP 112/64, height 5’6†and weight 118 lbs. (which was the same as last year). BMI 19.04
- HEENT: WNL except some anterior cervical adenopathy bilaterally, and throat appears reddened.
- Lung: clear to auscultation
- CV: regular sinus rhythms without murmur or gallop
- Abd: soft, non-tender, liver normal,
- Breasts: fibrocystic changes bilaterally, no masses, dimpling, redness or discharge, no adenopathy, and bilateral nipple piercings.
- VVBSU: wnl, slight frothy yellow discharge by cervix, clitoral piercing noted
- Cervix: friable, some petechia no cervical motion tenderness.
- Uterus: mid mobile, non-tender
- Adnexa: without masses or tenderness
- Perineum: wnl
- Rectum: wnl
- Extremities: full rom, skin clear, no edema, reflexes 1+.
- Neurological: CN II-12 grossly intact.
NRNP_6552 Week 5 Case Study Discussion: Common Gynecologic Conditions, Part 2
NRNP_6552 Week 5 Case Study Discussion: Common Gynecologic Conditions Part 1
D.M. is a 52-year-old African American, G2T1P0A1L1 female presenting to the clinic with complaints of abnormal bleeding and pelvic pressure. She works full-time as a receptionist for Gunn Honda. Medical history includes Grave disease, anemia, CAD, hypertension, obesity, and osteopenia. Surgical history includes D&C, tubal ligation, endometrial biopsy (in office). She currently takes metoprolol, aspirin, progestin mini pills, and iron. She is allergic to PCN. Family history, Mother has a history of hypertension and obesity, alive and 75, NRNP_6552 Father away from MI at 57.
Social history is negative for illicit drug use or smoking, she reports having 1-2 glasses of wine/week. GYN history, the onset of menses age 14, heavy bleeding, menses irregular since age 48. She has some cramping and pelvic pain and pressure with menses. She lives a sedentary lifestyle, minimal exercise 1-2 times a week, wears seatbelts when in the car, denies texting and driving. She reports she has been bleeding for 14 days.
NRNP_6552 Week 5 Case Study Discussion: Common Gynecologic Conditions Part 2
The patient with the initials HJ is a 26-year-old female who to the hospital for bilateral hip and lower back pain. The patient self-report that the pain experienced has been present for about 8 months and it as a deep ache which is located in the low back and both hips anteriorly. On a pain scale, she rated the pain as 8/10. NRNP_6552 Her pain is when she engages in physical activities which include walking, running, and standing.
Patient history that her first menstrual cycle beyond 34 days and she has since not any menses which represents the presence of secondary amenorrhea (Lord & Sahni, 2021; Nawaz & Rogol, 2021). The absence of menstruation during the female during the reproductive ages of approximately 12 to 49 years is as amenorrhea.
NRNP_6552 Week 7 Discussion: Health Conditions and Implications for Women
Some health issues, including heart disease, depression, and autoimmune disease, present more frequently in women than in men. Others, including ovarian cancer and pregnancy issues, are obviously exclusive to the female population. Nurse practitioners focused on women’s healthcare become well-versed in these health issues and apply their expertise to helping to screen for and offer care for patients with these conditions
For this Discussion, you will select a specific women’s health issue. NRNP_6552 You will research this issue, and share common symptoms, recommended diagnostic tests, and common treatments.
To prepare:
Review the Learning Resources for this week and consider the different types of women’s health issues.
Choose one of the women’s health issues from the following list and once you have selected an issue, search the Walden Library and/or the Internet regarding the health issue symptoms, diagnostic tests, NRNP_6552 and common treatments:
- Osteoporosis
- Bladder Issues
- Pre-diabetes
- Thyroid
- Hypertension
- Seizure Disorders
- Psychiatric Disorders
Part 1: By Day 3
Based on the issue you chose, post a description and explanation of common symptoms, recommended diagnostic tests, and common treatments. Be specific and provide examples. NRNP_6552 Use the evidence from your search of the literature to support your explanation of the woman’s health issue you chose.
Part 2: By Day 5
Next, based off the one women’s health issue you picked listed below, post your responses to the following questions that corresponds to your women’s health issue.
Osteoporosis – What are your options for primary prevention? How would you educate someone on the treatment
Bladder Issues – What exactly are the symptoms? What about Interstitial cystitis (IC) and pelvic pain?
Thyroid – What symptoms occur in women? What can you discern from that? What about infertility?
Pre-diabetes – Are there menstrual irregularities? NRNP_6552 What types of medication are they taking? What about pregnancy plans?
Hypertension – What medications are appropriate for a woman of reproductive age? Should you counsel the woman on appropriate dieting?
Seizure Disorders – What special implications do you need to consider in this particular population?
Psychiatric Disorders – Specify the types of disorders i.e., anxiety/depression/substance abuse/eating disorders.
NRNP_6552 Week 8 Case Study Discussion: Common Health Conditions with Implications for Women
The case study presented includes:
A 58-year-old African-American female complaining of brown vaginal discharge for several days last week. She is a G0, having never been able to get pregnant. Her pap history is normal with her last pap 2 years ago reported an NILM HPV negative, atrophic changes, no endocervical cells noted. T.S. was never able to conceive, but never had an infertility work-up. She also has Type II Diabetes with an A1C of 7.5. NRNP_6552 She takes Glipizide and Metformin for her diabetes.
Brown vaginal discharge in a post-menopausal woman can occur for various reasons. Inquiring further about her health history is important in properly diagnosing her. Some questions I would ask include: NRNP_6552
- How long has the discharge been occurring for?
- How heavy is the discharge?
- Any recent intercourse?
- Are you taking any herbal supplements?
- Are you taking any other medications besides the medications for your diabetes?
- Any family history of cancer?
- Age when you became menopausal?
- Any pain with the discharge?
NRNP_6552 Week 9 Case Study Discussion: Working Through Ethical Dilemmas & Issues Adv. Nursing Practice
Pregnancy can be a time full of joy and excitement. But it can also bring stress and anxiety, with preparations to make amid concerns about health, diet, and general well-being. This anxiety is compounded by complications that can arise due to unexpected pregnancies, preexisting medical conditions, or factors that make the pregnancy high-risk.
Nurse practitioners in obstetric roles must be prepared to help screen, treat, and care for patients during these exciting, stressful, and anxious days. NRNP_6552 Such efforts help maintain health, address potential problems, and alleviate stress and anxiety.
For this week, you will examine the role of the nurse practitioner in obstetric settings. Using case studies, you also will analyze diagnoses and recommend treatment options and plans for patients
Learning Objectives
Students will:
- Analyze differential diagnoses related to case studies
- Recommend diagnostic tests and treatment options related to case studies
- Evaluate ethical, psychological, physical, and financial issues related to case studies
- Evaluate evidence-based research to support case study decision making NRNP_6552
- Evaluate best practice guidelines for case studies
The Discussion for this week is to provide you an opportunity to discuss with your colleagues the case studies presented in the interactive media program. These case studies involve ethical dilemmas or other issues encountered in advanced nursing practice.
Photo Credit: WavebreakmediaMicro / Adobe Stock
By Day 3
To prepare:
- Review the interactive case studies in this week’s Learning Resources. Select one of the cases to prepare your discussion post. Do not post a SOAP note though your post should address the following: NRNP_6552
- Summary of your chosen case study
- What is your differential diagnosis?
- Why did you make this diagnosis decision?
- What is your treatment plan?NRNP_6552 Week 9 Discussion: Working Through Ethical Dilemmas and Other Issues in Advanced Nursing Practice
- What evidence-based research can you provide to support your decision (choice for differential diagnosis and plan/intervention)?
- What resources did you use to meet your best practice guidelines?
- Address the ethical dilemmas and/or other issues for your case study:
- Ethical issues NRNP_6552
- Psychological issues
- Physical issues
- Financial issues
By Day 6
Respond to at least two of your colleagues’ posts (from a different group) on two different days and provide additional insight that might be useful and appropriate for the issue addressed. Use your learning resources and/or evidence from the literature to support your position.
Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question†link and then select “Create Thread†to complete your initial post. NRNP_6552 Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!
