Try this for baby’s head to engage #drankitachauhan #babyheadengagement #pregnancyworkouts #momtobe



Final weeks of pregnancy can feel heavy — literally! Try these doctor-approved movements to help your baby’s head naturally settle into place. 💕

[Dr Ankita Chauhan, Obstetrician, Gynecologist, Obgyn, Cosmetic Gynecologist, baby head engagement, final weeks pregnancy, prenatal exercises, pregnancy discomfort relief, natural baby positioning, pregnancy tips, gynecologist advice, safe pregnancy movements, pregnancy last trimester, pregnancy guidance]

#drankitachauhan #hyderabad #gynecologist #cosmeticgynecologist #obgyn #babyheadengagement #finalweekspregnancy #prenatalexercises #pregnancydiscomfort #naturalbabypostioning #pregnancytips #gynecologistadvice #safepregnancymovements #thirdtrimesterpregnancy #pregnancyguidance

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EXAM 4 NSG554 NSG 554 LATEST 2024 2025 UPDATE NURSE PRACTITIONERS IN PRIMARY CARE I EXAM REVIEW COMP



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..Exam 4: NSG554/ NSG 554 (Latest 2024/
2025 Update) – Nurse Practitioners in
Primary Care I Exam Review| Complete
Guide with Questions and Verified Answers|
All Modules Covered|100% Correct| Grade A
Q: most common breast problem in primary care
Answer:
mastalgia or mastodynia
Q: galactorrhea
Answer:
milky breast discharge–associated with pituitary adenoma or hypothyroidism
Q: chronic pelvic pain
Answer:
continues or episodic NONmenstrual pain of at least 6 mos. at or below umbilicus. interrupts
normal activities. May involve GI, uro, gyn, onco, musco, psycho systems. cause is often
multifactoral
Q: Increased risk of chronic pelvic pain
Answer:
history of:
ØPhysical and sexual abuse
ØPelvic inflammatory disease

ØEndometriosis
ØInterstitial cystitis
ØIrritable bowel syndrome
ØMusculoskeletal D/O
ØPostsurgical pain
Q: PE and diagnostics of chronic pelvic pain
Answer:
detailed abd., pelvic, back, dx: vaginal/cervical cultures, UA, urine culture, CBC, pregnancy test,
ESR
transvaginal/renal ultrasound and/or laparoscopy, CT or MRI
Q: management of chronic pelvic pain
Answer:
NSAIDS, TCAs, anticonfulsants, neurostim, laparoscopy
Q: abnormal uterine bleeding
Answer:
wide range. can be acute episodic or chronic
Q: workup for abnormal uterine bleeding
Answer:
eval s/s blood loss, systemic disease, pelvic exam, labs: hcg, CBC, TSH, prolactin, transvaginal
US, endometrial sampling
Q: causes of anormal uterine bleeding

Answer:
polyp, adenomyosis, leiomyoma, malignancy, ovulatory disorder (PCOS, hypothyroid,
hyperprolactin), endometrial, iatrogenic, not otherwise classified
Q: management of abnormal uterine bleeding
Answer:
hormones, hemostatic therapy with tranexamic acid (antifibrinolytic) and high dose NSAIDs,
surgery
Q: dysmenorrhea
Answer:
painful menstruation
primary: painful despite normal anatomy and ovulation occuring within 6-12 mos after menarche
secondary: painless menses assoc. with endometriosis, fibroids, adenomyosis, PID, infertility,
cysts, polyps, intrauterine adhesions, cervical stenosis, other conditions or IUD use
Q: diagnostis for dysmenorrhea
Answer:
pelvic US, genital cultures, laparoscopy, hysteroscopy, dilations and curettage, CT, labs: CBC,
ESR
Q: management of dysmenorrhea
Answer:
NSAIDs, hormonal contraceptives, CCB, tocolytic, diet changes, supplements (MVI), TENS,
hysterectomy

Q: dyspareunia
Answer:
recurrent/persistent genital pain with sex
can develop due to other vulvar problems like vaginismus or volvodynia, PID, early postpartum,
perimenopausal, hx of sexual abuse, psych factors
often caused by endometriosis
Q: Q-tip test
Answer:
In a normal patient, the angle of the Q-tip is less than 30 degrees from the horizontal, and will
remain at this angle when the patient strains.
In patients with inadequate bladder neck support and stress incontinence, the Q-tip angle
generally exceeds 30 degrees from the horizontal.
Q: diagnostics dyspareunia
Answer:
vaginal KOH and wet mounts
pap smear
chlamydia, n. gonorrhea cultures
CBC
ESR
UA
HCG
Q: management of dyspareunia
Answer:
lubrication, topical estrogen, botulinum tox A, pelvic floor exercises, alternative sexual positions

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