Lesson 1Psychosocial and emotional screening: mood, anxiety, body image, relationship dynamics, and intimate partner violence screeningThis part covers social and emotional checks during gynecologic visits, including mood, worry, body perception, relationships, and violence from close partners, using caring methods informed by trauma and paths for getting help and support.
Screening for depression, anxiety, and suicidalityExploring body image and reproductive identityAssessing relationship quality and sexual coercionIntimate partner violence screening and safety plansTrauma‑informed communication during examsReferral to mental health and social servicesLesson 2Systemic and lifestyle history: weight changes, diet, sleep, exercise, substance use, and work/stressThis part looks at body-wide and daily life factors affecting gynecologic health, like weight shifts, eating habits, rest, physical activity, substance habits, and job-related stress, while adding advice to help change behaviors for better health.
Weight changes, BMI, and menstrual irregularitiesDietary patterns, anemia, and bone healthSleep quality, circadian disruption, and hormonesExercise, athletic amenorrhea, and energy balanceSubstance use and reproductive health outcomesWork stress, shift work, and coping strategiesLesson 3Detailed menstrual history: cycle patterns, bleeding quantity, intermenstrual bleeding, duration, and changes over timeThis part explains how to gather exact details on menstrual cycles, covering regularity, amount of flow, bleeding between periods, length, and shifts over time, to tell normal patterns from those pointing to hormone, structure, or bleeding issues.
Defining menarche, cycle length, and variabilityAssessing flow volume, clots, and flooding episodesDocumenting dysmenorrhea and associated symptomsIdentifying intermenstrual and postcoital bleedingRecognizing patterns suggesting endocrine disordersMenstrual history in perimenopause and menopauseLesson 4Reproductive intentions and preconception planning: timing, fertility factors, folic acid and immunizationsThis part centers on checking plans for having children and health before pregnancy, including timing, awareness of fertility, managing long-term illnesses, folic acid use, shots against diseases, and reviewing medicines ahead of pregnancy.
Clarifying short‑ and long‑term reproductive goalsFertility awareness and timing of intercourseOptimizing chronic conditions before conceptionFolic acid, nutrition, and weight optimizationImmunization review and needed updatesTeratogenic medication review and adjustmentsLesson 5Sexual and contraceptive history: partners, practices, STI risk, condom use, barrier and hormonal optionsThis part directs the gathering of sensitive, welcoming history on sexual matters and birth control, including partners, activities, risks of infections, condom use, barrier and hormone methods, sticking to them, side effects, and joint choices in picking methods.
Using inclusive, nonjudgmental sexual history questionsAssessing partners, practices, and STI risk factorsEvaluating current contraceptive use and adherenceReviewing barrier, hormonal, and LARC optionsAddressing side effects and method dissatisfactionCounseling on dual protection and emergency optionsLesson 6Focused documentation techniques and SOAP note structure for outpatient gynecologic visitsThis part describes how to organize records for clinic gynecologic visits using the SOAP method, stressing short, useful notes that aid ongoing care, legal needs, billing, and talks between health workers.
Organizing the gynecologic subjective databaseKey objective findings in pelvic and general examsFormulating focused gynecologic assessment statementsWriting clear, prioritized plans and follow‑upUsing templates and electronic health recordsLegal, billing, and confidentiality considerationsLesson 7Family and gynecologic history: cancers, thromboembolic disease, PCOS, endometriosis, early menopauseThis part deals with collecting thorough family and gynecologic background, focusing on inherited cancers, blood clot risks, PCOS, endometriosis, and early menopause to find risk signs and direct advice and checks.
Eliciting family history of breast and ovarian cancerIdentifying hereditary colon and endometrial cancersFamily and personal history of thromboembolismDocumenting PCOS, endometriosis, and infertilityRecognizing patterns of early or premature menopauseWhen to refer for genetic counseling and testingLesson 8Use of screening tools and questionnaires: PHQ-9, GAD-7, bleeding assessment tools (PBAC), and sexual health screensThis part goes over proven screening tools in gynecologic care, like PHQ-9, GAD-7, PBAC for bleeding, and sexual health forms, with tips on using them, scoring, understanding results, and adding them to care plans.
Selecting appropriate screening tools by indicationAdministering PHQ‑9 and interpreting depression scoresUsing GAD‑7 for anxiety in gynecologic settingsApplying PBAC to quantify menstrual blood lossSexual function and satisfaction screening toolsDocumenting and acting on abnormal screening resultsLesson 9Medication, supplement, and allergy review with potential gynecologic implicationsThis part stresses checking medicines, extras, and allergies step by step, pointing out those affecting bleeding, fertility, bone strength, and birth control, teaching nurses to spot clashes and no-go situations.
Identifying hormonal therapies and contraceptivesAnticoagulants and drugs affecting bleeding patternsSupplements impacting fertility and bone healthMedication interactions with contraceptive methodsDocumenting allergies and prior adverse reactionsCounseling on safe over‑the‑counter product useLesson 10Red flags and urgent symptoms: abnormal bleeding requiring immediate evaluation, severe pelvic pain, fever, syncopeThis part teaches nurses to spot warning gynecologic signs, like major bleeding, intense pelvic ache, fever, and fainting, and to start quick sorting, steadying, and sending to specialists right away.
Criteria for urgent abnormal uterine bleedingSevere pelvic pain and concern for torsion or ectopicFever, discharge, and suspected pelvic infectionSyncope, dizziness, and hemodynamic instabilityWhen to escalate to emergency services or surgeryPatient education on warning signs and self‑triage
