Fast Facts About the Gynecologic Exam

A Professional Guide for NPs, PAs, and Midwives

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Fast Facts About the Gynecologic Exam

A Professional Guide for NPs, PAs, and Midwives

Second Edition

Authors

R. Mimi Secor, DNP, FNP-BC, NCMP, FAANP, FAAN

Heidi Collins Fantasia, PhD, RN, WHNP-BC

Read a sample chapter

Description

This newly updated, step-by-step guide to the key points of conducting the GYN exam addresses everything nurse practitioners, NP students, and other primary care providers 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 individuals and also includes new information on intimate partner violence and working with adolescents and menopausal and older women. The book features prominently displayed key points and learning objectives for quick access of information. Including up-to-date information on STIs, Pap guidelines, and recommendations on the well-woman exam, this concise guide provides essential resources, including links to instructional videos and free apps, adding to the book’s value as an indispensable guide to delivering excellent holistic care to women.

New to the Second Edition:

New chapter on examining the transgender and LGBT individual
Latest information on intimate partner violence
Updates on examining adolescents and menopausal and older women
New information on female genital mutilation
New STI and Pap guidelines from CDC and ACOG

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

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

Authors

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.

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