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FNP 1 EXAM STUDY GUIDE FOR NURS 5432 2025|341 QUESTIONS AND ANSWERS|A+ GRADED
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Vaccinations Immunizations should not be delayed for minor illnesses. Rotavirus Vaccines Two types: Rotarix and Rotateq with specific dosing. Immunodeficient Children Live-virus vaccines are contraindicated for these patients. Known Allergies Children with allergies may need vaccine adjustments. RV Vaccine Rare intussusception risk; avoid in certain conditions.
Developmental Milestones Key skills children should achieve by specific ages. Tanner Stages System for assessing sexual maturation stages. Stage 1 Tanner Pre-pubertal stage with no pubic hair. Stage 2 Tanner Soft pubic hair; breast buds in females. Stage 3 Tanner Coarser pubic hair; penis enlargement in males.
Premature Infants Immunization schedule based on chronological age. Live Virus Vaccines Contraindicated in immunocompromised children. Neomycin Allergy Avoid MMR, IPV, VAR in allergic children. Egg Allergy Influenza vaccine can be given with precautions. Developmental Control Head control by 3 months; sitting by 6 months.
Pincer Grasp Develops between 8-10 months of age. Walking Milestone Typically achieved by 1 year of age. Babbling Peaks at 12 months; begins word usage. Expressive Vocabulary Expands significantly from 12 to 24 months. Speech Comprehension 100% comprehension by kindergarten age. Hospitalized Children Vaccination deferred until post-discharge.
Vaginal candidiasis treatment Topical or oral antifungals like Clotrimazole. Bartholin's gland cyst management Incision and drainage; word catheter for 4-6 weeks. PALM-COEIN Acronym for causes of abnormal uterine bleeding. Polyp Benign growth in the uterine lining. Adenomyosis Endometrial tissue grows into uterine muscle. Leiomyoma Benign smooth muscle tumors in premenopausal women.
Coagulopathy Blood disorder causing abnormal bleeding. Ovulatory dysfunction Irregular ovulation leading to menstrual issues. Endometrial Referring to the uterine lining. Iatrogenic Caused by medical treatment or device. PCOS Polycystic ovarian syndrome; hormonal imbalance.
Weight reduction 10% loss improves insulin and menstrual function. Combined hormonal contraceptives First-line for managing PCOS symptoms. Letrozole First-line medication for ovarian stimulation. Vulvovaginal candidiasis Fungal infection; may have satellite lesions. Labial adhesions Common condition in 20% of females.
Diflucan Oral antifungal for treating candidiasis. Menstrual irregularity Varied menstrual cycles; includes amenorrhea. Hirsutism Excessive hair growth in females; male patterns. Ovarian morphology Presence of cysts in ovaries; PCOS indicator. Satellite lesions Secondary skin lesions often associated with infections. PO ABX Oral antibiotics that may disrupt normal flora.
Punch biopsy Diagnostic procedure to obtain skin tissue sample. High potency steroids Strong anti-inflammatory medications for severe conditions. Lichen Planus Inflammatory condition causing burning and itching. Vaginal contact dermatitis Irritation caused by external materials or substances. Genital psoriasis Skin condition that may mimic yeast infections. Vulvodynia Chronic pain syndrome affecting the vulvar area.
Hormonal contraceptives Medications that prevent ovulation and regulate menses. Progestin Hormone that prevents ovulation and thickens mucus. Depo-Provera Injectable contraceptive administered every three months. ACHES pneumonic Symptoms to report: Abd pain, Chest pain, Headaches, Eye issues, Severe leg pain. Monophasic pill Contraceptive with a consistent hormone dose.
Treatment to alleviate menopausal symptoms with hormones. Non-hormonal medications Alternatives for managing menopause symptoms without hormones. Gabapentin Medication used for hot flashes in menopause. Clonidine Medication for mild hot flashes, less effective than SSRIs. Breast cancer risk Increased risk associated with long-term hormone therapy. VTE Venous thromboembolism, a risk with hormone therapy.
Short term use Increases CVD, cancer, VTE risks long term. Tailored therapy Achieve lowest dose for shortest duration. Menopause onset Introduce therapy early for better risk/benefit. Absolute contraindications None for hormone replacement therapy. Estrogen-dependent malignancies Includes breast, ovarian, and uterine cancers. Unexplained uterine bleeding
Ospemifene SERM for moderate to severe dyspareunia. Estrogen and progesterone use Depends on history of hysterectomy. Fibroadenoma Benign breast mass, smooth and rubbery. Complex fibroadenoma Includes cysts >3mm, sclerosing adenosis. Fine needle aspiration biopsy Used to rule out cancer in masses. Fibrocystic breast disease
Common in premenopausal women, includes cysts. Nipple discharge Typically benign, requires surgical referral. Galactorrhea Physiologic discharge; check TSH and prolactin. Breast cancer risk factors Includes familial link, dense tissue, obesity. Mammogram screening recommendations USPSTF: 50-74 biennial; ACS: 45 annually. SERMs Tamoxifen and Raloxifene for breast cancer.
