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Features

November 2014 Vol. 2 No. 4

Author: Meaghan M. Eddy MSN, NP-C

Childhood obesity has reached epidemic rates in the United States, affecting all socioeconomic classes. At the same time, girls in this country are being bombarded with media images of the ideal female body, which is likely more slender and more muscular than their own. Preadolescence and adolescence are tumultuous periods . . .

May 2017 Vol. 5 No. 2

Author: Heidi Collins Fantasia, PhD, RN, WHNP-BC; Allyssa L. Harris, PhD, RN, WHNP-BC; and Holly B. Fontenot, PhD, RN, WHNP-BC

Key words: contraception counseling, bedsider.org, family planning, long-acting reversible contraceptives, LARC

In the United States, approximately 50% of pregnancies are unintended; the U.S. continues to have one of the highest rates of unintended pregnancy among all developed countries.1  Although unintended pregnancies occur among women of all . . .

May 2017 Vol. 5 No. 2

Key words: pregnancy, perinatal period, perinatal anxiety, generalized anxiety disorder, perinatal anxiety screening scale

An anxiety disorder can disrupt a woman’s abilities to enjoy life and to self-care. When an anxiety disorder is present during the perinatal period—that is, during pregnancy and/or the first year postpartum . . .

February 2017 Vol. 5 No. 1

Author: Gretchen Sisson, PhD and Rachel Herndon, LCSW

Pregnant women considering or planning on adoption present a unique set of needs for healthcare providers who want to support them in their decision-making throughout their pregnancy, delivery, and beyond. Nurse practitioners (NPs) are well situated to provide the nuanced and empathetic care needed. The authors describe the current . . .

November 2016 Vol. 4 No. 4

Author: Aimee Chism Holland, DNP, WHNP-BC, FNP-C, RD

Vulvar biopsy and application of trichloroacetic acid (TCA) to treat vulvar condylomata acuminata (genital warts) are two minimally invasive office procedures routinely performed by women’s health nurse practitioners (WHNPs). To ensure patient safety and good outcomes, WHNPs must receive formal education and training prior to performing these procedures. The . . .

August 2016 Vol. 4 No. 3

Author: Carol A. Botwinski, EdD, ARNP, NNP-BC

Thyroid disorders are fairly common in pregnancy, with the most common being hypothyroidism. Undiagnosed or inadequately treated hypothyroidism during pregnancy can have devastating consequences on the developing fetus. By contrast, early recognition and effective management of thyroid disorders in pregnancy can minimize risk for both maternal and neonatal complications.
Approximately . . .

August 2016 Vol. 4 No. 3

Author: Tiffany A. Tseng, MSN, WHNP-BC

Polycystic ovary syndrome (PCOS) is the most common endocrine disorder affecting females of reproductive age and the leading cause of anovulatory infertility.1 Lack of correct diagnosis and management of PCOS can lead to reproductive challenges (e.g., infertility, early miscarriage, gestational diabetes), metabolic disorders (e.g., type 2 diabetes . . .

May 2016 Vol. 4 No. 2

Author: Patrice C. Malena, MS, FNP-BC

Women comprise about 15% of active-duty military force members and 18% of National Guard and Reserve force members.1 Women serve in nearly every area of the military—including as fighter pilots, gunners, warship commanders, and military police— in locations stateside and abroad. They serve in every branch of . . .

May 2016 Vol. 4 No. 2

Author: Joanne B. Stevens, PhD, WHNP-BC, ARNP; Elizabeth Cooper, CNM, EdD; and Stasha Roberts, MSN, ARNP

Most females receive prenatal care via a traditional model focused on screening for health-related complications. A healthcare provider (HCP) offers this care on an individual and regular basis throughout the pregnancy. At minimum, each visit involves assessment of maternal weight and blood pressure (BP), fundal height, and fetal heart . . .

May 2016 Vol. 4 No. 2

Author: Brittany S. Nutt, DNP, RN, WHNP-BC*; Susan Chaney, EdD, RN, FNP-C, FAANP; and Catherine Hill, DNP, APRN, GNP-BC

Pelvic organ prolapse (POP) is a common condition that occurs when one or more pelvic structures—the bladder, the urethra, the uterus, or the rectum—deviate from their normal anatomic position and bulge against the vaginal vault.1 Sometimes the prolapse is so severe that the affected area protrudes through . . .

February 2016 Vol. 4 No. 1

Author: Aimee Chism Holland, DNP, WHNP-BC, FNP-C, RD

Minimally invasive office gynecology procedures such as endocervical polypectomy and endometrial biopsy are routinely performed by women’s health nurse practitioners (WHNPs). To ensure patient safety and comfort and to avoid complications, the WHNP must have knowledge of indications and contraindications, as well as skills needed to perform each of . . .

February 2016 Vol. 4 No. 1

Author: By Suzanne F. Foley, PhD, WHNP-BC, RN

The postpartum period, defined traditionally as the first 6-8 weeks after birth, is a time of rapid change for new mothers and their families. Mothers are not only recovering physically but also making psychosocial adjustments related to their family role and relationships. In addition, mothers are adding or refining . . .

 
By Pamela E. Xandre, DNP, WHNP, FNP; Salma Shabaik, MD; and Anita L. Nelson, MD
Pregnancy and pre-conception care (PCC) are major concerns for reproductive-aged women. Although researchers are beginning to find an association between women’s intendedness of pregnancy and their reproductive health-related behaviors, little . . .

August 2015 Vol. 3 No. 3

Author: Erik P. Southard, DNP, FNP-BC, CME; Renee N. Bauer, PhD, MS, RN; and Andreas M. Kummerow, MS, RN, CNE

Ubiquitous images of waiflike models and other females in the media prompt many adolescent girls in the United States to curb their caloric intake and lose weight, even to a perilously low level. The authors provide up-to-date information regarding identification, assessment, and management of anorexia in adolescent girls . . .

This issue of Women’s Healthcare: A Clinical Journal for NPs features abstracts presented at the 17th Annual NPWH Premier Women’s Healthcare Conference in Savannah, Georgia, in October 2014. Please join us in congratulating the first- and second-place poster award winners and the four podium presenters, all of . . .

By Aimee Chism Holland, DNP, WHNP-BC, FNP-BC, RD; Deborah Kirk Walker, DNP, FNP-BC, NP-C, AOCN; Sigrid Ladores, PhD, PNP; and Karen Meneses, PhD, RN, FAAN
About 68% of invasive cervical cancer cases diagnosed in the United States involve women of childbearing age. Current treatment options for . . .

By Tammy M. DeBevoise, PT, DPT; Angela F. Dobinsky, PT, DPT;
Caitlin B. McCurdy-Robinson, PT, DPT; Christina M. McGee, PT, DPT, ATC, LAT; Cody E. McNeely, PT, DPT; Sara K. Sauder, PT, DPT; and Kimberlee D. Sullivan, PT, DPT, WCS, BCB-PMD
Nurse practitioners commonly see patients with disorders . . .

February 2015 Vol. 3 No. 1

Author: Casey B. Giebink, MSN, NP-C, WHNP-BC and Ivy M. Alexander, PhD, APRN, ANP-BC, FAAN

 

By Casey B. Giebink, MSN, NP-C, WHNP-BC and Ivy M. Alexander, PhD, APRN, ANP-BC, FAAN

Although about one-third of women report concerns with sexual functioning, many healthcare providers (HCPs) do not feel comfortable screening for, diagnosing, or managing female sexual dysfunction (FSD). The authors offer . . .

February 2015 Vol. 3 No. 1

Author: Joyce S. Lee, RN, CPNP-BC

 

Management of polycystic ovary syndrome (PCOS) in adolescents entails dealing not only with the physical manifestations but also the troubling psychosocial effects related to these physical manifestations. The author conducted a literature review to ascertain the adverse psychosocial effects of PCOS in adolescents, as well as what nurse practitioners . . .

November 2014 Vol. 2 No. 4

Author: Michelle L. Munro, PhD, CNM, FNP-BC

Research indicates that only a small fraction of sexual assault survivors seek comprehensive care—including physical and mental healthcare, forensic evidence collection, victim services, and legal support—after the assault. This integrative review was conducted to identify barriers that may be keeping sexual assault survivors of childbearing age from receiving . . .

By Meaghan M. Eddy, MSN, NP-C
The purpose of this literature review is to delineate the link between overweight/obesity (OW/O) and low self-esteem in pre-adolescent and adolescent girls. Topics covered include the adverse physical and emotional health-related repercussions of OW/O in girls, factors . . .

August 2014 Vol. 2 No. 3

Author: Racquel S. Maccagno, MSN, ARNP and Cathy R. Kessenich, PhD, ARNP, FAANP

Osteoporosis is associated with increased morbidity, mortality, and healthcare costs—billions of dollars annually. Although many types of pharmacotherapy are available to prevent or treat the disease, many patients, for various reasons, do not adhere to their prevention or treatment regimen. In this article the authors show how motivational interviewing . . .

By Laurie L. Ray, WHNP and Mary-Jane McEneaney, WHNP
Sexual violence (SV) affects hundreds of thousands of females each year in the United States and many more throughout the world. Although most primary care practitioners, including nurse practitioners, do not attend to the immediate needs of females following a . . .

May 2014 Vol. 2 No. 2

Author: Susan Rawlins, MS, WHNP-BC

The author reviews osteoporosis, including basic facts about the disease, risk factors, prevention, diagnosis, and treatment. In addition, the author presents findings of a National Association of Nurse Practitioners in Women’s Health (NPWH) survey* in which 361 nurse practitioners answered questions about different aspects of caring for their patients . . .

By Linda Beuscher, PhD, GNP; Tom Cook, PhD, FNP; and Shellian D. Elliott, MA
Doctor of Nursing Practice (DNP) programs are emerging rapidly, yet scant evidence-based information addresses students’ perspectives of their program. This qualitative study provides a formative evaluation of students’ experiences of their DNP . . .

By Jessica L. Crull, MSN, FNP-BC; Deborah K. Mayer, PhD, RN, AOCN, FAAN; and Ann N. Jessup, PhD, RN, FNP-BC
The authors searched and synthesized the literature to identify current recommendations for early detection of ovarian cancer, the female reproductive cancer with the highest mortality rate. After providing . . .

By Aimee Chism Holland, DNP, WHNP-BC, FNP-BC, RD, NPWH Research Committee Chair
This issue of Women’s Healthcare: A Clinical Journal for NPs features abstracts presented at the NPWH Conference in San Diego, California, in September 2013. Please join us in congratulating our four podium presenters and the . . .

By Cathy Friedlander Cole, NP, MPH, CHES, CBPN-IC
Many hospitals offer survivorship programs for women who have completed their course of treatment for breast cancer. Nurse practitioners are often members of the healthcare team that provides this survivorship care. The author reports the results of her survey ascertaining whether . . .

By Nathalie M. Brahver, MSN, RN, CPNP
Acquaintance rape, or rape perpetrated by someone known to the victim—such as a friend, date, or partner—is a growing form of sexual victimization experienced in the adolescent population. The unique needs of female adolescent rape victims must be understood in order . . .