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Comprehensive study notes for nurs 5432 fnp 1 at the university of texas, arlington. It covers the entirety of the course, including modules on vaccinations, women's health, and developmental milestones. The notes are organized by topic and include key concepts, definitions, and questions for review. This resource is valuable for students preparing for exams and seeking a structured approach to learning.
Typology: Exams
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Vaccinations >>
UTA – N URS 5432 – FNP 1 – Exam Study Notes I won’t be making another one of these for FNP2 or FNP3 – so don’t bother looking for it. This took too much time to create. Recommend your notes utilize the following format – Disease name – What are signs and symptoms? – Special considerations for this disease? – How do you manage disease? – When do you refer to specialist(s)? Mid-term Exam – modules 1-4 – Module 1 - should not be delayed due to minor illnesses, even if they illicit low-grade fever. However, for moderate to severe infections, vaccinations could be postponed. Premature infants should follow a schedule for immunizations based on their chronological age, not their gestational age. Vaccine doses should not be adjusted (reduced) for premature or low-birthweight patients. Chronic diseases are not outright contra-indications; however, vaccination with DTaP should be deferred until the neurologic condition has been clarified and/or is stable. Rotavirus vaccines –
- completed by 24 weeks.
Immunodeficient children should not be given live-virus vaccines. These include –
Developmental >>
Autism – none Set of symptoms that typically present prior to 3 years of age. OB – This classification system pairs AUB with descriptive terms denoting the bleeding pattern (ie, heavy, light and menstrual, intermenstrual) and etiology. Module 2 – Women’s Health PAP screening guidelines Abnormal PAP tests, cervical cancer, vaginal candidiasis, and Bartholin's gland cyst. What do the guidelines state the age is for the first PAP? Last PAP? How do you manage abnormal PAPs? Pt will have HPV testing to determine sub-type of HPV. Pt may also have colposcopy if they test positive for high-risk type. Routine surveillance is recommended based on age, and the governing body recommended frequency (typically between every 3-5 years). What is the treatment for vaginal candidiasis and Bartholin's gland cyst? Vaginal Candidiasis – none
The third lecture covers PCOS. Polycystic ovarian syndrome. 4 possible methods to have diagnosis – Androgen excess + ovulatory dysfunction (commonly seen in adolescents). Androgen excess + polycystic ovarian morphology (aka ovarian cysts) Ovulatory dysfunction + polycystic ovarian morphology Androgen excess + ovulatory dysfunction + polycystic ovarian morphology DON’T NECESSARILY HAVE TO HAVE OVARIAN MORPHOLOGY TO HAVE DX. Patho? Excess androgens d/t hyperandrogenism. (Unopposed estrogen??). Familial link. Possibly induced by high calorie intake early on in life. What are the signs and symptoms of PCOS? This disease presents as –
o Pharm - none. ▪ Metformin
For a lot of these vaginal/labial d/o, have malignancy as part of differential.
▪ Progestin –
o Active gallbladder dz is a contraindication.
o Any of these any they need to see oncologist prior to initiating therapy – o Breast CA (BRCA1 and BRCA2) ▪ This risk not seen until after 5 years of therapy. o Ovarian CA o Uterine CA
3cm, pt is symptomatic or dx is questionable – refer for sx Fibrocystic Breast dz - none Spectrum of breast tissue dz – incl cyst formation, columnar cell changes, mastalgia, epithelial hyperplasia, etc. Common is premenopausal women ages 30-50. In US, 50% of women have some type of fibrocystic breast dz. No known risk factors. 30% of all women with breast CA develop in women with benign breast dz (BBD). Assessment –
Dx –
Module 3 – pregnancy and lactation Lecture one covers medications during pregnancy and preconception and intra-natal care. During 3 rd^ trimester of pregnancy renal flow is doubled, which accelerates renal excretion; however, mobility and tone of bowel decreased, which can prolong drug effects. To some extent, all medications can cross the placenta – some medications do more easily and will then have more ‘bioavailability’ for the fetus than others. First trimester –
Immunizations during pregnancy >> o This can also be given w/in 72 hours after delivery. o Or w/ any episodes of vaginal or intrauterine bleeding What is appropriate weight gain during pregnancy? This will be determined by BMI prior to pregnancy (BMI <18.5, mother could gain more; BMI
25, mother could gain less) Normal weight – BMI 18.5 to 24.9 – 25-35 pounds for single gestation pregnancy What medications are contraindicated?
_- ACE inhibitors – can cause fetal death, but are not category X, are category C. To limit exposure to baby to medications in breast milk, advise the following –