NURS 6501 Women’s and Men’s Health, Infections, and Hematologic Disorders
NURS 6501 Women’s and Men’s Health, Infections, and Hematologic Disorders
NURS 6501 Women’s and Men’s Health, Infections, and Hematologic Disorders
https://topnursingpapers.com/nurs-6501-womens-and-mens-health-infections-and-hematologic-disorders/
Scenario 1: Polycystic Ovarian Syndrome (PCOS)
A 29-year-old female presents to the clinic with a complaint of hirsutism and irregular menses. She describes irregular and infrequent menses (five or six per year) since menarche at 11 years of age. She began to develop dark, coarse facial hair when she was 13 years of age, but her parents did not seek treatment or medical opinion at that time. The symptoms worsened after she gained weight in college. She got married 3 years ago and has been trying to get pregnant for the last 2 years without success. Height 66 inches and weight 198. BMI 32 kg.m2. Moderate hirsutism without virilization noted. Laboratory data reveal CMP within normal limits (WNL), CBC with manual differential (WNL), TSH 0.9 IU/L SI units (normal 0.4-4.0 IU/L SI units), a total testosterone of 65 ng/dl (normal 2.4-47 ng/dl), and glycated hemoglobin level of 6.1% (normal value ≤5.6%). Based on this information, the APRN diagnoses the patient with polycystic ovarian syndrome (PCOS) and refers her to the Women’s Health APRN for further workup and management.
Question
How does PCOS affect a woman’s fertility or infertility?
Selected Answer: PCOS is the leading cause of infertility in women (McCance & Huether, 2019). Infertility results from alterations in androgen production, follicular disturbances, and an absence of ovulation. In other words, PCOS negatively impacts fertility because women with the condition do not ovulate or release an egg each month due to an overproduction of estrogen by the ovaries.
Correct Answer:
Ovulation problems are usually the primary cause of infertility in women with PCOS. Ovulation may not occur due to an increase in testosterone production or © 2020 Walden University 2 because follicles on the ovaries do not mature. Due to unbalanced hormones, ovulation and menstruation can be irregular. A hyperandrogenic state is a cardinal feature in the pathogenesis of PCOS. Excessive androgens affect follicular growth, and insulin affects follicular decline by suppressing apoptosis and enabling follicle to persist. There is dysfunction in ovarian follicle development. Inappropriate gonadotropin secretion triggers the beginning of a vicious cycle that perpetuates anovulation
Response Feedback: [None Given]
In this exercise, you will complete a 10- to 20-essay type question Knowledge Check to gauge your understanding of this module’s content.
Possible topics covered in this Knowledge Check include:
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- Sexually transmitted diseases
- Prostate
- Epididymitis
- Factors that affect fertility
- Reproductive health
- Alterations and fertility
- Anemia
- ITP and TTP
- DIC
- Thrombocytopeni
Photo Credit: Getty Images
Complete the Knowledge Check By Day 7 of Week 10
To complete this Knowledge Check:
Module 7 Knowledge Check
Week 10: Concepts of Women’s and Men’s Health, Infections, and Hematologic Disorders
Literature, cinema, and other cultural references have long examined differences between women and men. These observations extend well beyond obvious and even inconspicuous traits to include cultural, behavioral, and biological differences that can impact pathophysiological process and, ultimately, health.
Understanding these differences in traits and their impact on pathophysiology can better equip acute care nurses to communicate to patients of both sexes. Furthermore, APRNs who are able to communicate these differences can better guide care to patients, whatever their gender.
This week, you examine fundamental concepts of women’s and men’s health disorders. You also explore common infections and hematologic disorders, and you apply the key terms and concepts that help communicate the pathophysiological nature of these issues to patients.
Learning Objectives
Students will:
- Analyze concepts and principles of pathophysiology across the life span
- Analyze processes related to women’s and men’s health, infections, and hematologic disorders
- Identify racial/ethnic variables that may impact physiological functioning
- Evaluate the impact of patient characteristics on disorders and altered physiology
Learning Resources
Required Readings (click to expand/reduce)
McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
- Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review
- Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review
- Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review
- Chapter 27: Sexually Transmitted Infections, including Summary Review
- Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review
- Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review
- Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review
Document: NURS 6501 Final Exam Review (PDF document)
Note: Use this document to help you as you review for your Final Exam in Week 11.
Required Media (click to expand/reduce)
Module 7 Overview with Dr. Tara Harris
Dr. Tara Harris reviews the structure of Module 7 as well as the expectations for the module. Consider how you will manage your time as you review your media and Learning Resources throughout the module to prepare for your Knowledge Check and your Assignment. (3m)
Note: The approximate length of the media program is 5 minutes.
Online Media from Pathophysiology: The Biologic Basis for Disease in Adults and Children
Pathophysiology: The Biologic Basis for disease in adults and children is a textbook that has a wealth of additional materials that are highly recommended. Focus on the movies and animations in Chapters 24, 26, 28, and 30 that deal with reproductive and hematological systems. In Week 1, directions for registering can be found in the Learning Resources.. If you have already registered, you may access the resources at https://evolve.elsevier.com/