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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