100% satisfaction guarantee Immediately available after payment Both online and in PDF No strings attached
logo-home
WHNP Basics! NCC study set 2024 Practice Questions and Answers (100% Pass) $13.49   Add to cart

Exam (elaborations)

WHNP Basics! NCC study set 2024 Practice Questions and Answers (100% Pass)

 7 views  0 purchase
  • Course
  • WHNP
  • Institution
  • WHNP

WHNP Basics! NCC study set 2024 Practice Questions and Answers (100% Pass)

Preview 4 out of 65  pages

  • August 14, 2024
  • 65
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • WHNP
  • WHNP
avatar-seller
OliviaWest
©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM




WHNP Basics! NCC study set 2024 Practice
Questions and Answers (100% Pass)


When would you see ++ ketones on a urine dip...What is going on with the mom? -
✔️✔️1. diabetes

2. hyperemesis gravidarum



"Ketones are chemicals that the body creates when it breaks down fat to use for energy.
The body does this when it doesn't have enough insulin to use glucose, the body's
normal source of energy. When ketones build up in the blood, they make it more acidic."
-google

Varney's Normal Lab Values in Pregnancy - ✔️✔️

1st trimester vag bleeding - ✔️✔️LQQSDAA questions and spec exam to determine
etiology of bleeding.



CBC, blood type (and antibody screen?) to know if hemodynamically stable and if Rh -
/needs Rhogam.



TVUS immediately, and if not immediately available, get a bHCG immediately and the
TVUS as soon as possible.




1

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM


Ensure to give pt warning signs of ectopic if pregnancy location is unknown and she is
going home.



If miscarriage, give edu re: B/R/A to expectant management vs Miso (vs D&C/aspiration
if available.)



How much Rhogam do I order for the person who is Rh neg and has 1st trimester
bleeding? Per AAFP:

"The dose of RhO(D) immune globulin is 50 mcg (250 IU) in women with bleeding
before 12 completed weeks' gestation."

TVUS Dx of early pregnancy loss, per Loren - ✔️✔️

Warning signs for COCs - ✔️✔️ACHES!



Abdominal pain (severe)

Chest pain (sharp, severe, SOB)

Headache (severe, dizzy, unilaeral)

Eye problem (scotomata, blurred vision, blind spots)

Severe leg pain (calf or thigh)

Warning signs for IUDs - ✔️✔️PAINS!



Period late/missed; abnormal spotting or bleeding

Abdominal pain

Infection- vaginal discharge




2

,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM


Not feeling well- fever, aches, chills

String missing, shorter or longer

When to RTC after BCM initiation - ✔️✔️RTC 3 months for BCM supervision/BP check if
OCP, ring or patch

RTC 3 mos for wt, BP and repeat inj if Depo

RTC PRN in Nexplanon

RTC after first menses following insertion if IUD for thread check

Infertility work-up per Up to Date - ✔️✔️Minimal work up: "The minimal work-up includes
serum prolactin, thyroid-stimulating hormone (TSH), FSH, and assessment for
polycystic ovary syndrome (PCOS)."

"Diagnostic tests — In addition to the history and physical examination, the initial
diagnostic evaluation consists of:

●Semen analysis to detect male factor infertility.

●Documentation of normal ovulatory function. Women with regular menses
approximately every four weeks with moliminal symptoms are almost always ovulatory.

●A test to rule out tubal occlusion and assess the uterine cavity. We usually perform a
hysterosalpingogram (HSG), which evaluates both the uterus and tubes, but
laparoscopy with chromotubation combined with hysteroscopy may be more appropriate
in women suspected of having endometriosis. Dilute indigo carmine or methylene blue
can be used for the chromotubation dye. (See 'Role of laparoscopy' below.)

●A test or tests of ovarian reserve such as cycle day 3 follicle-stimulating hormone
(FSH) or estradiol, clomiphene citrate challenge test, anti-müllerian hormone (AMH), or
antral follicle count."

Women with periods q 28 days "with molimina symptoms prior to menses (breast
tenderness, bloating, fatigue, etc.) are most likely ovulatory. In women who do not
describe their cycles as such, laboratory assessment of ovulation should be performed.




3

, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM


Ovulation is most easily documented by a mid-luteal phase serum progesterone level,
which should be obtained approximately one week before the expected menses. For a
typical 28-day cycle, the test would be obtained on day 21. A progesterone level >3
ng/mL is evidence of recent ovulation

An alternative is to have the patient use an over-the-counter urinary ovulation prediction
kit. These kits detect luteinizing hormone (LH) and are highly effective for predicting the
timing of the LH surge that reliab

My hypothetical plan for a patient coming for infertility complaint - ✔️✔️Full physical- top
and bottoms off, spec



Expl recurrent preg loss to pt, work-up process, available tx depending on dx



Order Prolactin, TSH, a1c



Dirty catch today for GC/CT



Order blood draw for HIV, RPR



Consider advising pt to obtain OTC urine ovulation kit



If same male partner, advise pt to consider semen analysis and to RTC with partner for
exam and consult



Rx PO FA .4 mg (aka 400 mcg) daily




4

The benefits of buying summaries with Stuvia:

Guaranteed quality through customer reviews

Guaranteed quality through customer reviews

Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.

Quick and easy check-out

Quick and easy check-out

You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.

Focus on what matters

Focus on what matters

Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!

Frequently asked questions

What do I get when I buy this document?

You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.

Satisfaction guarantee: how does it work?

Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.

Who am I buying these notes from?

Stuvia is a marketplace, so you are not buying this document from us, but from seller OliviaWest. Stuvia facilitates payment to the seller.

Will I be stuck with a subscription?

No, you only buy these notes for $13.49. You're not tied to anything after your purchase.

Can Stuvia be trusted?

4.6 stars on Google & Trustpilot (+1000 reviews)

67866 documents were sold in the last 30 days

Founded in 2010, the go-to place to buy study notes for 14 years now

Start selling
$13.49
  • (0)
  Add to cart