Fast Facts About the Gynecologic Exam: A Professional Guide for NPs, PAs, and Midwives, Second Edition

by R. Mimi Secor DNP, FNP-BC, NCMP, FAANP, FAAN, Heidi Collins Fantasia PhD, RN, WHNP-BC

Overview

"This is an extraordinarily down-to-earth and useful guide for both novice clinicians and experienced clinicians who are presented with challenging patient situations. … a must-have book for novice clinicians as they struggle to make it through their first solo gynecologic examination and move on to mastering the art of caregiving as well as the science of providing the best possible individualized care for each woman across the life span." - Joellen W. Hawkins, PhD, RN, WHNP-BC; Professor Emeritus, Boston College, William F. Connell School of Nursing; Writer-in-Residence, Simmons College School of Nursing and Health Sciences

This newly updated, step-by-step guide to the key points of conducting the GYN exam addresses everything both busy nurse practitioners and NP students need to know, from basic procedures to high-level challenges. Part I breaks down the GYN exam into clinical parts, emphasizing strategies to decrease anxiety and minimize discomfort at every stage of the exam. Part II walks the caregiver through the exam for women at every stage of the life span, sexually abused women, obese women, and women who have undergone genital mutilation.

This second edition delivers an all-new chapter on providing care to transgender and LGBT women and also includes new information on intimate partner violence and working with adolescents and menopausal and older women. Comprehensive and organized for easy access to information, the book features prominently displayed key points, learning objectives, and "Fast Facts in a Nutshell" boxes based on the authors' more than 40 years of teaching experience. Along with the most up-to-date information on STIs, Pap guidelines across the life span, and recommendations on the well-woman exam, this concise guide comes with a wealth of essential resources, including links to instructional videos and free apps for patient and practitioner education, adding to the book’s value as an indispensable, quick-access guide to delivering excellent holistic care to women.

New to the Second Edition:

• New chapter on examining the transgender and LGBT woman
• Latest information on intimate partner violence
• Updates on examining adolescents and menopausal and older women
• New information on female genital mutilation
• New CDC STD, PAP, and ACOG Guidelines
• Links to instructional videos
• Free apps for patient and practitioner education

Key Features:

• Delivers easy-to-read, bulleted information in a convenient pocket size
• Provides learning objectives, key points, and Fast Facts in a Nutshell
• Includes tips on examining special populations including obese, anxious, multiparous, pediatric, menopausal, and older patients and transgender/LGBTQ
• Serves as a refresher for those studying for the WHNP Exam

Product Details

ISBN-13:	9780826196095
Publisher:	Springer Publishing Company
Publication date:	10/28/2017
Series:	Fast Facts
Sold by:	Barnes & Noble
Format:	eBook
Pages:	178
File size:	6 MB

About the Author

R. Mimi Secor, DNP, FNP-BC, FAANP, is a nurse practitioner (NP), national speaker/educator, and consultant. She has worked for 40 years as a family nurse practitioner specializing in women’s health.

Heidi Collins Fantasia, PhD, RN, WHNP-BC, FNAP, FAAN, is an associate professor and department chair in the Zuckerberg College of Health Sciences, Solomont School of Nursing at the University of Massachusetts Lowell, and has been a board-certified women's health nurse practitioner since 1997. She has practiced clinically in a variety of settings including obstetrics/gynecology, primary care, and a Title X public health clinic. She is the author of more than 100 publications, including peer-reviewed manuscripts, books, book chapters, and editorials that focus on various aspects of women's and gender related health throughout the life span. Her research interests include the intersection of violence and the reproductive health of women, including violence screening, women's experiences of violence, issues surrounding sexual consent and coercion, and human trafficking. Dr. Fantasia previously served on the Board of Directors for the National Association of Nurse Practitioners in Women's Health from 2019-2021 and is the current editor of the journal Nursing for Women's Health. She is a Distinguished Practitioner and Fellow in the National Academies of Practice and a Fellow in the American Academy of Nursing. Dr. Fantasia received a bachelor of science in nursing from Salem State College in Salem, Massachusetts, and master's and doctoral degrees from Boston College in Chestnut Hill, Massachusetts. She completed a postdoctoral fellowship at Boston College prior to joining the faculty at the University of Massachusetts.

Table of Contents

Contents

Contributor

Foreword Joellen W. Hawkins, PhD, RN, WHNP-BC

Preface

Acknowledgments

Part I INTRODUCTION TO THE GYNECOLOGIC EXAM

1. Conducting the Interview and Taking a Gynecologic and Sexual History

R. Mimi Secor

2. The Abdominal Exam

R. Mimi Secor

3. The Vulvar Exam

R. Mimi Secor

4. The Speculum Exam

R. Mimi Secor

5. The Bimanual Exam

R. Mimi Secor

6. The Rectal Exam

R. Mimi Secor

Part II APPROACH TO EXAMINING SPECIAL POPULATIONS

7. Specific “Challenges”

Heidi Collins Fantasia

8. Examining the Woman With Anxiety, History of Sexual Violence, or Intimate Partner Violence

Heidi Collins Fantasia

9. Examining Premenarchal Children, Adolescents, and Virginal Women

Heidi Collins Fantasia

10. Useful Techniques When Examining Overweight, Multiparous, or Physically Challenged Women

Heidi Collins Fantasia

11. Special Considerations When Examining the Postmenopausal and Older Woman

Heidi Collins Fantasia

12. Care of the Woman Who Has Experienced Female Genital Mutilation

Heidi Collins Fantasia

13. Gynecological Examination of the Transgender Patient

Teri Bunker

Appendices

A. Common Pelvic Examination Problems and Interventions

B. Vaginal Microscopy Flow Sheet

C. Vaginal Microscopy: Flow Sheet Instructions

D. Vulvar Care Guidelines for Patient Education

Bibliography

Abbreviations

Index