KAPLAN MN576 2018 September Full Course Latest
MN576 Primary Care of the Womens Health
Unit 1 Discussion
Screening Guidelines
Pick one women’s health screening guideline such as mammogram, pap smear, bone mineral density scan, or colonoscopy, and outline the current screening recommendations for age and frequency. Discuss any reasons for potential deviations from routine screening frequency.
MN576 Primary Care of the Womens Health
Unit 2 Discussion
Vulnerability may arise from individual, community, or larger population challenges and requires different types of policy interventions—from social and economic development of neighborhoods and communities, and educational and income policies, to individual medical interventions. Values affect how society views the vulnerable—as victims or sinners—and thus whether or not to provide public assistance. There are programs available to help vulnerable populations gain access to opportunities that support their full participation in society. Each provides a dedicated source of financial and technical assistance for projects and activities in their respective programming areas.
Explore federal agencies that are concerned with Women’s Health. Which ones may be of benefit to vulnerable populations? Explore nonprofit agencies that are concerned with Women’s Health. Share resources aimed to benefit women in your state or area.
MN576 Primary Care of the Womens Health
Unit 3 Discussion
Although the menopause transition is primarily thought of as a normal physiological transition, it is a time that encompasses the period of time when women are experiencing changes in the menstrual cycle reflective of endocrine changes. The physiologic processes can be difficult for providers to describe. In 2001, the Stages of Reproductive Aging Workshop (STRAW) developed a standardized approach to menopause terminology.
Please discuss the STRAW and the STRAW +10 definitions and why it is important for providers to have common language when communicating about the stages of menopause.
MN576 Primary Care of the Womens Health
Unit 4 Discussion
Many elements need to be considered individually by a woman, man, or couple when choosing the most appropriate contraceptive method. Some of these elements include safety, effectiveness, availability (including accessibility and affordability), and acceptability. Although most contraceptive methods are safe for use by most women, U.S. MEC provides recommendations on the safety of specific contraceptive methods for women with certain characteristics and medical conditions.
Compare and contrast two forms of contraception including indications, contraindications, side effects, US Medical Eligibility Criteria (USMRC), US Selected Practice Recommendations for Contraceptive Use (USSPR), affordability, and mechanisms of action.
MN576 Primary Care of the Womens Health
Unit 5 Discussion
Both the U.S. Preventive Services Task Force and the Centers for Disease Control and Prevention (CDC) recommend that all “baby boomers” – people born from 1945 through 1965 – get a hepatitis C test.
Discuss the change in these guidelines, who is at risk, and the ramifications for individuals that contract hepatitis C. and are not identified and treated.
MN576 Primary Care of the Womens Health
Unit 6 Discussion
It's not at all uncommon to have fibrocystic breasts. More than half of women experience fibrocystic breast changes at some point in their lives. In fact, medical professionals have stopped using the term "fibrocystic breast disease" and now simply refer to "fibrocystic breasts" or "fibrocystic breast changes" because having fibrocystic breasts isn't really a disease. Breast changes categorized as fibrocystic are considered normal.
Discuss the symptoms and cause as well as the diagnosis and treatment of women who present with fibrocystic breast. Include patient education, suggested lifestyle changes and recommended self-management.
MN576 Primary Care of the Womens Health
Unit 7 Discussion
Pelvic pain can be acute or chronic and can be caused by any number of conditions. In primary care, nurse practitioners should be able to outline the basic approach to initial evaluation of and management of these disorders.
As you have learned in this unit there are many causes of pelvic pain. Select one of the causes of pelvic pain and describe the symptoms. Why and who would you refer this patient to for consultation? What are the steps to writing a referral and what is the NP’s responsibility for follow up?
MN576 Primary Care of the Womens Health
Unit 8 Discussion
Pregnancy is the period of time when a fetus develops inside a woman's uterus and ends with the birth of the infant. There are a variety of clinical laboratory tests and diagnostics typically used prior to and throughout pregnancy. The tests and diagnostics provide useful information from the time pregnancy is first considered through the initial days of the newborn's life.
Discuss the most common screening test and diagnostics used throughout pregnancy and the purpose of the tests. When during pregnancy are tests performed and what is the protocol when an abnormal test or diagnostic is found?
MN576 Primary Care of the Womens Health
Unit 9 Discussion
Healthcare for women in the primary care setting requires up-to-date, gender-specific knowledge regarding disease prevention and disease management. An average female has a life expectancy of eighty two years old. In spite of that, there are several health problems in women that need to be addressed and given attention at every primary care visit.
Discuss a primary care-focused visit devoted to wellness and or disease affecting women and health-enhancing strategies that you would include in the visit.
MN576 Primary Care of the Womens Health
Unit 10 Discussion
Depression is a common psychiatric disorder in children, adolescents, adults, and the elderly. Primary care providers, not mental health professionals, treat the majority of patients with symptoms of depression. Persons who are depressed have feelings of sadness, loneliness, irritability, worthlessness, hopelessness, agitation, and guilt that may be accompanied by an array of physical symptoms as well as substance abuse. Identifying patients with depression and substance abuse can be difficult in busy primary care settings where time is limited, but certain depression/substance abuse screening tools may help diagnose the disorder.
Discuss a screening tool that can be used in the primary care setting that can help with the identification of patients with depression and or substance abuse. What is your responsibility as a primary care provider to this patient once a disorder has been identified?
MN576 Primary Care of the Womens Health
Unit 2 Assignment
Vulnerable populations, including the uninsured, immigrants, and working poor, are at greater risk of developing health problems. Historically, nurse practitioners have cared for this growing population.
The purpose of this Assignment is for you to gain an understanding of the psychosocial needs of vulnerable female populations and issues impacting culturally competent delivery of women’s health care. This is a 5–7 page paper, excluding title page and references, written in 6th edition APA format. Please review the grading rubric in course resources.
Directions
Select a vulnerable female population such as gender identity; domestic violence; incarcerated women; immigrant, migrant or refugee women; adolescents; or homeless women.
Introduce the group and why you selected it.
Outline the relevant group statistics related to the population as well as the impact of the group on women’s health.
Analyze the psychosocial needs of the selected group.
Discuss the issues impacting culturally competent care delivery for the group.
Describe the associated culturally and ethically competent care methods the NP will employ in caring for the population.
Save your paper in the following format: Lastname Course Assignment Number. Example: Henry MN576 Assignment 1
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format.
be 5–7 pages in length.
MN576 Primary Care of the Womens Health
Unit 3 Assignment
The purpose of this Assignment is for you to design a method of communicating age appropriate screening guidelines to the appropriate population. This can either be a trifold brochure or a 10 slide PowerPoint presentation.
Directions
1. Select a screening test and the age appropriate population at risk.
2. Introduce the screening and why you selected it.
3. Outline the relevant group statistics related to the population as well as the impact of
the group on women’s health.
4. Discuss the issues impacting screening.
Save your document in the following format: Lastname Course Assignment Number.
Example: Henry MN576 Unit 3 assignment
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements
Before finalizing your work, you should:
· be sure to read the Assignment description carefully (as displayed above);
· consult the Grading Rubric to make sure you have included everything necessary; and
· utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
· follow the conventions of Standard English (correct grammar, punctuation, etc.);
· be well ordered, logical, and unified, as well as original and insightful;
· display superior content, organization, style, and mechanics; and
· use APA 6th Edition format.
· be a trifold brochure or a 10 slide PowerPoin®t presentation.
· include references in APA format.
MN576 Primary Care of the Womens Health
Unit 6 Assignment
The i-Human® scenario below is designed to help you move through a simulated clinical scenario about a patient presenting with a breast complaint. Your work will be scored by i-HUMAN rubric below rubric below and transferred to a grade in the Gradebook by faculty. This assignment is worth 100 points.
Grading criteria for assignment are:
History=30
Physical Exam=30
Differential Diagnosis=15
Ranking the Differential Diagnosis=10
Test Selection=15
For this activity, you will need to login to your i-Human account. Instructions for logging-in are as follows:
· Go to https://ih2.i-human.com/.
· Log in with your credentials (username and password).
· Select “Assignments” from the menu options on the top left of the screen.
· Press the green play button next to the Burns for University case study.
· The case study will open; click Start to begin.
· Complete all elements of the case study (history, physical exam, assessment, etc.).
Once you have successfully completed the Assignment, take a screenshot of the last screen of the activity, paste it into a Microsoft Word document, save your document, and Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
For help creating a screenshot, visit the website below.
Take a Screenshot. Retrieved from http://www.take-a-screenshot.org
MN576 Primary Care of the Womens Health
Unit 8 Discussion
The i-Human® scenario below is designed to help you move through a simulated clinical scenario about a pregnant patient. Your work will be scored by i-HUMAN rubric below rubric below and transferred to a grade in the Gradebook by faculty. This assignment is worth 100 points.
Grading criteria for assignment are:
History=30
Physical Exam=30
Differential Diagnosis=15
Ranking the Differential Diagnosis=10
Test Selection=15
For this activity, you will need to login to your i-Human account. Instructions for logging-in are as follows:
· Go to https://ih2.i-human.com/.
· Log in with your credentials (username and password).
· Select “Assignments” from the menu options on the top left of the screen.
· Press the green play button next to the Tina Sand for University case study.
· The case study will open; click Start to begin.
· Complete all elements of the case study (history, physical exam, assessment, etc.)
Once you have successfully completed the Assignment, take a screenshot of the last screen of the activity, paste it into a Microsoft Word document, save your document, and Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
For help creating a screenshot, visit the website below.
Take a Screenshot. Retrieved from http://www.take-a-screenshot.org
MN576 Primary Care of the Womens Health
Unit 9 Assignment
Health Promotion, Chronic and Acute Illness Paper
Purpose
The purpose of this Assignment is for you to gain an understanding of health promotion, screening, diagnosis, and management of common women’s health acute and chronic illnesses and to compare and contrast common versus nontraditional treatment modalities.
Directions
Select one acute and one chronic women’s health issue (e.g., urinary tract infection and osteoporosis).
Describe and outline the issue, prevalence, and significance.
Describe health promotion and screening for each issue.
Outline diagnostic tests or laboratories needed for each issue. Elaborate on what you would expect or anticipate in the diagnostic testing with each illness you choose.
List and describe common treatment or management modalities for each issue.
Discuss patient education and follow up that is needed for each issue.
Identify health screening and promotion needs for women across the lifespan specific to the chronic illness.
For each selected issue, compare and contrast traditional versus nontraditional treatment options.
Examine how you would collaborate with other members of the health care team for best practice.
Please save your paper in the following format: Lastname Course Assignment Number. Example: Henry MN576 Unit 9 Assignment
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements
Before finalizing your work, you should:
be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Resources) to make sure you have included everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
follow the conventions of Standard English (correct grammar, punctuation, etc.);
be well ordered, logical, and unified, as well as original and insightful;
display superior content, organization, style, and mechanics; and
use APA 6th Edition format.
be 5-10 pages in length.
How to Submit:
Submit your Assignment to the unit Dropbox before midnight on the last day of the unit.
Make sure to save a copy of your work and be sure to confirm that your file uploaded correctly.
MN576 Primary Care of the Womens Health
Unit 1 Seminar
Preparing for Women’sHealth Courses
This seminar will discuss pointers on managing the women’s health courses including preparing for course work and patient encounters
Alternate Seminar Assignment
If you are unable to attend the live seminar, there will be a written paper option (100 words or less) about the overall content of the seminar. For this written assignment, you will need to view the archived version before writing the paper. This assignment is worth 20 points.
MN576 Primary Care of the Womens Health
Unit 7 Seminar
Discussion and Review of i-Human Assignment
The follow up review i-Human Seminar is mandatory either by live attendance or review of recording and alternative assignment. The Seminar is worth 20 points.
Alternative Seminar Assignment
If you are unable to attend the live Seminar, there will be a written paper option (100 words or less) about the overall content of the Seminar. For this written assignment, you will need to view the archived version before writing the paper. This assignment is worth 20 points.
MN576 Primary Care of the Womens Health
Unit 9 Seminar
Discussion and Review of I Human Assignment
The follow up review i-Human Seminar is mandatory either by live attendance or review of recording and alternative assignment. The Seminar is worth 20 points.
Alternative Seminar Assignment
If you are unable to attend the live Seminar, there will be a written paper option (100 words or less) about the overall content of the Seminar. For this written assignment, you will need to view the archived version before writing the paper. This assignment is worth 20 points.
MN576 Primary Care of the Womens Health
Unit 5 Midterm Exam
Question 1
Lesbians may experience which of the following barriers to health care?
Question options:
1) Homophobia from the healthcare provider
2) Incorrect knowledge about health care needs of lesbians by healthcare providers
3) Lack of insurance and/or access under partner’s coverage
4) All of the above
Question 2
Which of the following is not representative of the presentation of secondary syphilis?
Question options:
1) generalized rash
2) chancre
3) arthralgia
4) lymphadenopathy
Question 3
In women who have experienced a spinal cord injury, temporary cessation of menses is normal for up to one year following the injury.
Question options:
1) True
2) False
Question 4
When performing a bimanual exam all of the following are noted as normal findings except:
Question options:
1) retoverted uterus
2) anteflexed uterus
3) fixed immobile uterus
4) smooth, firm ovary
Question 5
Which of the following agents is most active against C. trachomatis?
Question options:
1) amoxicillin
2) metronidazole
3) azithromycin
4) ceftriaxone
Question 6
Which HPV types are most likely to cause genital condyloma acuminatum?
Question options:
1) 1, 2, and 3
2) 6 and 11
3) 16 and 18
4) 22 and 24
Question 7
A recommended treatment for rectal gonorrhea is:
Question options:
1) oral amoxicillin.
2) oral azithromycin.
3) oral ciprofloxacin.
4) ceftriaxone injection.
Question 8
According to the CDC, women who have sex with women (WSW) are a diverse group with variations in sexual identity, sexual behaviors, sexual practices, and risk behaviors.
Question options:
1) True
2) False
Question 9
How long after contact do clinical manifestations of syphilis typically occur?
Question options:
1) less than 1 week
2) 1 to 3 weeks
3) 2 to 4 weeks
4) 4 to 6 weeks
Question 10
The Pap test should not be considered a screening test for STDs.
Question options:
1) True
2) False
Question 11
Which of the following terms describes the mechanism of action of imiquimod (Aldara)?
Question options:
1) keratolytic
2) immune modulator
3) cryogenic
4) cytolytic
Question 12
HCV infection is the most common chronic bloodborne infection in the United States, with an estimated 2.7 million persons living with chronic infection
Question options:
1) True
2) False
Question 13
About ____ of patients with genital warts have spontaneous regression of the lesions?
Question options:
1) 10%
2) 25%
3) 50%
4) 75%
Question 14
Which of the following is a contraindication to estrogen/progestin-containing methods (combined oral contraception [COC], patch [Ortho Evra], or ring [NuvaRing])?
Question options:
1) mother with a history of breast cancer
2) personal history of hepatitis A at age 10 years
3) presence of factor V Leiden mutation
4) cigarette smoking one pack per day in a 22-year-old
Question 15
Presumptive treatment for PID should be initiated in sexually active young women and other women at risk for STDs if they are experiencing pelvic or lower abdominal pain, if no cause for the illness other than PID can be identified, and if one or more of the following minimum clinical criteria are present on pelvic examination:
Question options:
1) cervical motion tenderness
2) uterine tenderness
3) adnexal tenderness.
4) All of the above
Question 16
The definition of menopause is
Question options:
1) Frequently skipping period for one year
2) One year without a period
3) Onset of hot flashes and night sweats with irregular menstruation
4) None of the above
Question 17
Universal screening for chlamydia and gonorrhea in women ≤35 years entering juvenile and adult correctional facilities has been a long-standing recommendation.
Question options:
1) True
2) False
Question 18
What percentage of anogenital and cervical cancers can be attributed to HPV infection?
Question options:
1) less than 30%
2) at least 50%
3) at least 70%
4) 95% or greater
Question 19
Which of the following is not representative of the presentation of primary syphilis?
Question options:
1) painless ulcer
2) localized lymphadenopathy
3) flu-like symptoms
4) spontaneously healing lesion
Question 20
A 22-year-old woman taking a 35-mcg ethinyl estradiol COC comes into the office complaining of sudden onset of calf pain. She states she recently traveled abroad and the pain started when she returned home. You suspect
Question options:
1) muscle fatigue
2) DVT
3) fibromyalgia
4) depression
Question 21
Which of the following is found in tertiary syphilis?
Question options:
1) arthralgia
2) lymphadenopathy
3) macular or papular lesions involving the palms and soles
4) gumma
Question 22
A 30-year-old woman presents without symptoms but states that her male partner has dysuria without penile discharge. Examination reveals a friable cervix covered with thick yellow discharge. This description is most consistent with an infection caused by:
Question options:
1) Chlamydia trachomatis.
2) Neisseria gonorrhoeae.
3) human papillomavirus (HPV).
4) Trichomonas vaginalis.
Question 23
Puberty consists of a series of predictable events, and the sequence of changes in secondary sexual characteristics has been categorized by several groups. The staging system utilized most frequently used to describe these events is Tanner staging.
Question options:
1) True
2) False
Question 24
Adolescent girls are not candidates for IUD use for contraception
Question options:
1) True
2) False
Question 25
Which of the medications can be prescribed to a patient to treat and or prevent osteoporosis in the postmenopausal patient and should be taken weekly.
Question options:
1) Actonel 150 mg
2) Fosamax 70 mg
3) NSAIDs
4) Calcium
MN576 Primary Care of the Womens Health
Unit 10 Final Exam
Question 1
Increased folic acid intake before conception is likely to reduce the risk of which of the following birth defects?
Question options:
1) congenital cataract
2) pyloric stenosis
3) clubfoot
4) open neural tube defects
Question 2
Down syndrome is the clinical manifestation of trisomy ___.
Question options:
1) 13
2) 15
3) 18
4) 21
Question 3
Malignant thyroid nodules are more common in women than men.
Question options:
1) True
2) False
Question 4
Identify the corresponding characteristic of Goodell sign
Question options:
1) blue–violet vaginal color
2) softening of uterus isthmus
3) softening of vaginal portion of the cervix
Question 5
Medications most commonly pass through the placenta via:
Question options:
1) facilitated transport.
2) passive diffusion.
3) capillary pump action.
4) mechanical carrier state.
Question 6
HDL levels are a better predictor of CAD in women than LDL.
Question options:
1) True
2) False
Question 7
Anxiety in response to a challenging life event is a natural response by the body to:
Question options:
1) help a person focus on the issue at hand.
2) diminish the fight-or-flight response.
3) impair decision-making under duress.
4) provide transient improvement in physical capabilities.
Question 8
In Down syndrome, which of the following is true?
Question options:
1) Most infants affected with Down syndrome are born to women older than age 35 years.
2) Down syndrome is noted in about 1 in 10,000 live births.
3) Down syndrome is associated with decreased maternal serum AFP level.
4) Antenatal serum analysis is sufficient to make the diagnosis.
Question 9
Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals moderate perineal excoriation, vaginal erythema, and a white, clumping discharge. Expected microscopic examination findings include:
Question options:
1) a pH greater than 6. 0.
2) an increased number of lactobacilli.
3) hyphae.
4) an abundance of white blood cells.
Question 10
In Edwards syndrome, which of the following statements is true?
Question options:
1) Edwards syndrome is more common than Down syndrome.
2) Most affected infants with Edwards syndrome die during the first year of life.
3) Edwards syndrome is unlikely to cause developmental disability.
4) Edwards syndrome is associated with elevated AFP.
Question 11
Patient presentation possibly common to anxiety and depression includes:
Question options:
1) feeling of worthlessness.
2) psychomotor agitation.
3) dry mouth.
4) appetite disturbance.
Question 12
A patient has been prescribed adjuvant tamoxifen therapy following breast cancer. What common side effect might she experience?
Question options:
1) nausea and vomiting
2) vomiting, weight loss and hair loss
3) hot flashes, weight gain and blood clots
4) diarrhea
Question 13
Women who experienced gestational diabetes are at higher risk of developing Type 2 Diabetes later in life.
Question options:
1) True
2) False
Question 14
Use of St. John's wort is known to impact the effectiveness of all of the following medications except:
Question options:
1) oral contraceptives.
2) fluoroquinolones.
3) cyclosporine.
4) select antiretrovirals.
Question 15
Parotid Gland Enlargement is noted in:
Question options:
1) Anorexia nervosa
2) Bulimia nervosa
3) Both anorexia nervosa and bulimia nervosa
Question 16
Identify the corresponding characteristic of Chadwick sign
Question options:
1) blue–violet vaginal color
2) softening of uterus isthmus
3) softening of vaginal portion of the cervix
Question 17
In treating a person with panic disorder using an SSRI, the NP should consider that there is:
Question options:
1) considerable abuse potential with these medications.
2) no significant therapeutic advantage over TCAs.
3) a reduction in number and severity of panic attacks.
4) significant toxicity in overdose.
Question 18
Gallbladder disease occurs primarily in healthy women 40 to 65 years of age.
Question options:
1) True
2) False
Question 19
Concerning the use of alcohol during pregnancy, which of the following statements is most accurate?
Question options:
1) Although potentially problematic, maternal alcohol intake does not increase the risk of miscarriage.
2) Risk to the fetus from alcohol exposure is greatest in the third trimester.
3) No level or time of exposure is considered to be safe.
4) Risk of fetal alcohol syndrome is present only if alcohol exposure has occurred throughout the pregnancy.
Question 20
The recommended frequency of prenatal visits in weeks 28 to 32 of pregnancy is every:
Question options:
1) 1 week.
2) 2 weeks.
3) 3 weeks.
4) 4 weeks.
Question 21
The most likely causative pathogen in a 23-year-old woman with PID is:
Question options:
1) Escherichia coli.
2) Enterobacteriaceae.
3) trachomatis.
4) Pseudomonas.
Question 22
A 25-year-old woman presents in the 10th week of gestation requesting antenatal screening for Down syndrome. What advice should the NP give?
Question options:
1) Because of her age, no specific testing is recommended.
2) She should be referred for second-trimester ultrasound.
3) Screening that combines nuchal translucency measurement and biochemical testing is available.
4) She should be referred to a genetic counselor.
Question 23
The typical female onset of hypothyroidism is between which ages?
Question options:
1) 20 and 30 years
2) 30 and 60 years
3) over 60 years
Question 24
Identify the correct uterine size during the 8th week of pregnancy
Question options:
1) Size of a baseball
2) Size of a softball or grapefruit
3) Size of a large lemon
4) Size of a tennis ball or orange
Question 25
The presence of an adnexal mass in the woman with PID most likely indicates the presence of:
Question options:
1) uterine fibroids.
2) an ectopic pregnancy.
3) ovarian malignancy.
4) a tubo-ovarian abscess.
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Solution: KAPLAN MN576 2018 September Full Course Latest (No Seminar)