Guidelines for Nurse Practitioners in Gynecologic Settings, 11th Edition

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Guidelines for Nurse Practitioners in Gynecologic Settings, 11th Edition

SKU# 9780826122827

Author: Joellen W. Hawkins RN, PhD, WHNP-BC, FAAN, FAANP, Diane M. Roberto-Nichols BS, APRN-C, J. Lynn Stanley-Haney MA, APRN-C


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A "one-stop" comprehensive guide to women's healthóupdated with new evidence-based guidelines and timely topics

The 11th edition of this classic guide for assessment and management of common gynecologic conditions by advanced practice nurses is updated with cutting-edge topics, new evidence-based guidelines, and current patient teaching materials to enhance excellence in clinical practice. This edition features a completely updated chapter on the well-woman annual exam, including issues about the care of older women, and extensive revisions throughout regarding contraceptive methods, CAMs, medical abortion, HIV/AIDS, HPV screening and vaccine recommendations, and much more.

Guidelines reflect "best-practice" standards of care culled from literature on evidence-based practice that help ensure improved patient outcomes. Expert contributors include prominent specialists from all areas of gynecologic health. Complete guidelines are presented in a format that includes definition, etiology, history, physical exam, laboratory exam, differential diagnosis, treatment, complications, consultation/referral, and follow-up.

New to the 11th Edition:

  • Enhanced mental health chapter detailing the discontinuation of SSRIs/SNRIs
  • Guidelines for management of cytological abnormalities and cervical intraepithelial neoplasia
  • New information on menopause and osteoporosis
  • Updated information on contraception based on patients' individual profiles and clinical data
  • Revised information on natural family planning from an expert educator
  • New data on the long-term effects of hormone replacement therapy
  • Additional data-based evidence on over-the-counter remedies and nonprescription supplements
  • New data on screenings for breast cancer
  • New Pap smear guidelines across the life span
  • Physical assessment of pelvic floor integrity and dysfunction
  • Helpful techniques for difficult examinations
  • Information on lesbian, bisexual, and transgender health concerns

Key Features:

  • Reflects best-practice standards of care empirically demonstrated to improve patient outcomes
  • Presents guidelines in a concise, consistent outline format to ensure quick and easy access to clinical information
  • Written by a highly respected and experienced team of authors
  • Provides valuable patient teaching information, also available online

Product Details 

  • Publication Date October 28, 2015
  • Page Count 512
  • Product Form Paperback / softback
  • ISBN 13 9780826122827

About The Author(s) 

Joellen W. Hawkins, PhD, RN, WHNP-BC-E, FAAN, FAANP, practiced as an OB/GYN women’s health care nurse practitioner for 36 years. She was a professor in the School of Nursing, University of Connecticut at Storrs for 5 years, and at Boston College Connell School of Nursing from 1975 to 1978 and 1983 to 2008. Practice sites included 5 years at the University of Connecticut Student Health Services (Storrs); 16 years at Crittenton Hastings House Reproductive Health Services, Brighton, Massachusetts (1984 to 2000); 6 years at the Women’s Clinic, Pine Street Inn, Boston (2000–2006); and 9 years at Sydney Borum Community Health Center, Boston (2000–2009). From 2008 to the present, she has been writer-in-residence, Simmons College School of Nursing and Health Sciences, Boston, and from 2013 to the present, she has been an editor of faculty manuscripts prior to their submission to a journal and editor of book chapters written by faculty members of the College of Nursing, University of Wisconsin, Milwaukee.

Diane M. Roberto-Nichols, BS, APRN-C, is a nurse practitioner in both women’s health and adult medicine. She has practiced as an OB/GYN nurse practitioner for more than 30 years. She recently retired from Ellington OB/GYN Associates in Ellington, Connecticut, and from the University of Connecticut Student Health Services (Storrs). The focus of her practice has been on women’s health, starting as coordinator of the Women’s Health Clinic at the University of Connecticut at Storrs, where she was instrumental in making contraception and confidential health care available to female students. She also co-developed a protocol and implemented an assault crisis center for sexually and physically abused students at the university, as well as co-authored the protocols that served as the prototype for this book. She continues to be active in women’s health issues and to provide education to women throughout their life span.

J. Lynn Stanley-Haney, MA, APRN-C, is an adult medicine nurse practitioner with special practice areas that include gynecology and psychiatry. Until recently, she worked in both a private OB/GYN practice and a private psychotherapy and psychotherapeutic medication management practice. Of late, she has limited her work to her own private practice in psychiatry but remains keenly interested in, and an advocate for, quality care in the areas of women’s health and access to health care, which has been her longtime area of passion and concentrated effort. As the director of nursing for the University of Connecticut Student Health Services, she worked closely with the university’s Women’s Health Clinic in ensuring quality of care, in addition to providing direct clinical care to women. Along with her longtime colleague and co-author, Diane M. Roberto-Nichols, she co-developed and implemented a 24-hour sexual assault crisis service for physically abused and sexually assaulted women students. Together, they also co-authored the protocols that served as the prototype for this book. Since leaving the university, she has worked to implement and manage, as well as maintain, a practice in state-funded, school-based health clinics. Currently, in addition to her clinical practice, she supports and works with several organizations that advocate for women and girls.

Table of Contents 






1. Well-Woman Initial/Annual Gynecologic Exam

2. Safe Practices for Clinicians

3. Complementary and Alternative Therapies

4. Smoking Cessation

5. Weight Management

6. Guidelines for Assessing Victims of Abuse and Violence


7. Methods of Contraception and Family Planning

Barrier Methods

Contraceptive Spermicides and Condoms

Emergency Contraception

Hormonal Contraception

Intrauterine Devices/Intrauterine Contraceptive Devices

Natural Family Planning


8. Preconception Care


9. Breast Conditions

Abnormal Breast Discharge

Breast Mass

Breast Pain

10. Cervical Aberrations


PAP Smear and Colposcopy

11. Emotional and Mental Health Issues Appropriate for Assessment and Treatment in Women’s Health Care Settings

12. Genitourinary Tract Conditions

Interstitial Cystitis/Painful Bladder Syndrome

Urinary Tract Infection

13. Infertility

14. Pelvic Floor Dysfunction and Vulvar Dermatology

Pelvic Floor Dysfunction

Vulvar Dermatology

15. Medical Abortion

Postabortion Care: Medical and Surgical

Postabortion Complications

16. Menstrual Disorders

Abnormal Vaginal Bleeding



Endometrial Biopsy

Premenstrual Syndrome

17. Miscellaneous Gynecologic Conditions

Abdominal Pain

Acute Pelvic Pain

Bartholin’s Cyst, Bartholinitis

Chronic Pelvic Pain

Dysesthetic Vulvodynia


Pelvic Inflammatory Disease

Pelvic Mass

Pudendal Neuralgia


Uterine Leiomyomata

Vulvar Conditions

18. Perimenopause and Postmenopause

General Care Measures

Hormone Therapy


19. Polycystic Ovary Syndrome

20. Sexual Dysfunction

21. Vaginal Conditions

Checklist for Vaginal Discharge Workup

Checklist for Vaginal Discharge With Odor Workup

Bacterial Vaginosis



Chlamydia trachomatis Infection

Condylomata Acuminata (Genital Warts)

Genital Herpes Simplex


Granuloma Inguinale



Lymphogranuloma Venereum

Molluscum Contagiosum




PDF versions of the Patient Information and Consent Forms (Appendix A) and the Patient Education Handouts (Appendix I) are available at

APPENDIX A: Patient Information and Consent Forms


Emergency Contraception

Hormonal Contraceptives

Injectable Contraception (Depo-Provera)

Intrauterine Device

APPENDIX B: Abuse Assessment Screen

APPENDIX C: Danger Assessment

APPENDIX D: Self-Assessment of HIV Risk

APPENDIX E: Women and Heart Disease: Risk Factor Assessment

APPENDIX F: Complementary and Alternative Medicine

APPENDIX G: Constipation

APPENDIX H: Body Mass Conversion Table

APPENDIX I: “For Your Information”: Patient Education Handouts

Bacterial Vaginosis

Candidiasis (Monilia) Yeast Infection

Chlamydia trachomatis

Contraceptive Implant

Contraceptive Patch

Contraceptive Shield: Lea’s Shield

Contraceptive Vaginal Ring (NuvaRing)

Cystitis (Bladder Infection)


Genital Herpes Simplex

Genital Warts (Condylomata Acuminata)


Hormone Therapy

Lice (Pediculosis)

Natural Family Planning to Prevent or Achieve Pregnancy


Polycystic Ovary Syndrome

Postabortion Self-Care: Medical or Surgical

Preconception Self-Care

Premenstrual Syndrome


Spermicides and Condoms

Stop Smoking

Stress or Urge Incontinence (Loss of Urine)

Surgical Postabortion Care



Vaginal Contraceptive Sponge

Vaginal Discharge