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Women’s Health Clinical

Women’s Health Clinical

NP Women’s Health Weekly Clinical Experience: Topic-Comprehensive Women’s Health Visit/Annual

Describe your clinical experience for this week.

Did you face any challenges, any success? If so, what were they?
Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
Mention the health promotion intervention for this patient.
What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
Support your plan of care with the current peer-reviewed research guideline.Post should be 500 words, in current APA style with at least 2 current academic sources.

Textbook(s)
• Schuiling, K. D., & Likis, F. E. (2022). Gynecologic Health Care: with an Introduction to
Prenatal and Postpartum Care (4th ed.). Jones & Bartlett Learning.
ISBN: 9781284182347
• Fitzgerald, M. A. (2017). Nurse Practitioner Certification Examination and Practice
Preparation. Philadelphia, PA: F.A. Davis Company.
ISBN: 978-0803660427 Women’s Health Clinical

  1. What was your clinical experience for this week?,

  2. Did you face any challenges or successes?,

  3. What were the assessment signs/symptoms plan of care and three differential diagnoses with rationales?,

  4. What health promotion intervention was provided for this patient?,

  5. What did you learn that can benefit you as an advanced practice nurse and how is the plan of care supported by guidelines?


Comprehensive Response

1. What was your clinical experience for this week?
This week’s clinical experience focused on conducting a comprehensive women’s health visit, emphasizing preventive care, screening, and patient education. I participated in annual gynecologic exams, including history taking, physical assessments, and discussions about reproductive health, contraception, and lifestyle factors. This experience allowed me to integrate classroom knowledge with hands-on clinical practice, refining my ability to provide patient-centered, evidence-based care.

2. Did you face any challenges or successes?
One of the challenges was becoming comfortable with sensitive assessments such as pelvic and breast examinations, which require both technical skill and empathetic communication. Building patient trust during these exams was essential, especially when addressing potentially sensitive topics like sexual history or menstrual irregularities. A success was successfully establishing rapport with a patient, which allowed for a more open conversation about her contraceptive use and overall health goals.

3. What were the assessment, signs/symptoms, plan of care, and three differential diagnoses with rationales?
During one annual visit, the patient reported irregular menstrual cycles, occasional pelvic discomfort, and fatigue. On assessment, vital signs were stable, and pelvic examination was unremarkable except for mild adnexal tenderness. Laboratory workup, including a complete blood count and thyroid panel, was ordered.

  • Differential diagnoses: Women’s Health Clinical

    • Polycystic ovary syndrome (PCOS): Supported by irregular menses and pelvic discomfort; common in reproductive-aged women.

    • Thyroid dysfunction (hypothyroidism): Fatigue and irregular cycles can be linked to endocrine imbalance.

    • Iron-deficiency anemia: Fatigue and irregular bleeding patterns may indicate underlying anemia.

  • Plan of care: Order labs, schedule follow-up for results, discuss potential need for pelvic ultrasound, provide education on lifestyle modifications (diet, exercise, stress management), and initiate symptom tracking.

4. What health promotion intervention was provided for this patient?
The health promotion intervention included counseling on nutrition to support iron levels, physical activity to improve metabolic health, and contraceptive options to help regulate cycles. The importance of routine screening—such as Pap smears, mammograms, and STI testing—was emphasized. Patient education also covered safe sexual practices and the benefits of maintaining a healthy weight in relation to reproductive and cardiovascular health.

5. What did you learn that can benefit you as an advanced practice nurse, and how is the plan of care supported by guidelines?
This week reinforced the importance of holistic, patient-centered care that addresses physical, emotional, and preventive needs. I learned that communication is key to helping women feel empowered and involved in their health decisions. As an advanced practice nurse, I can use these skills to provide culturally competent, evidence-based care while advocating for preventive screenings. The plan of care was supported by current guidelines, including the American College of Obstetricians and Gynecologists (ACOG) recommendations on routine women’s health screenings and evidence-based practice for managing irregular menses and fatigue (Schuiling & Likis, 2022). Current literature also supports the integration of patient education and lifestyle modifications into management plans to enhance outcomes (Fitzgerald, 2017). Women’s Health Clinical

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