3.7 Sexuality - Reproductive pattern Flashcards

1
Q

What is important when teaching children about their sexual organs

3

A
  • proper names
  • where and when is appropriate to discuss them
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2
Q

At what age should kids be provided with info about sexuality

A

when they start asking questions about it

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3
Q

What is the rule of thumb for how to answer kids questions about sexuality

A

straightforward, simple answers

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4
Q

What is the age of onset for puberty

A

after 8 years old for boys and girls

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5
Q

What is good guidance for parents in terms of preparing kids for puberty

A

provide anticipatory info to decrease apprehension about upcoming changes

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6
Q

What is the providers role in addressing the increased sexual curiosity of adolescents

A

respond to their questions, feelings, problems by providing accurate info and sensitive counselling

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7
Q

What is the 7 P approach for providers to discuss sex with teens

A
  • Partners
  • Practices
  • Protection
  • Past history STIs
  • Prevention of preg
  • Permission (consent)
  • Personal identity (gender)
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8
Q

In regards to periods what must the provider assess for all sexually active teens

A

date of LMP

offer preg test when period is late or if teen is unsure of last date

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9
Q

When teens have a positive pregnancy test what should the provider do

A

provide counseling on options or refer in timely manner to someone who can

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10
Q

For teens who are ambivalent about contraception or considering pregnancy what should be recommended

A

a multivitamin containing folic acid

also ensure immunization status of MMR, varicella, Hep B

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11
Q

What are 2 important protective factors for transgender youth

A
  • timely access to gender affirming treatment
  • parental support
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12
Q

What are the 4 ways STIs are transmitted

A

contact through
* digital
* anal
* oral
* genital

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13
Q

___ sexual partners in the past year increases a teens risk for STI

A

more than 2

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14
Q

In sexually active females or trans males what can irregular vag bleeding or undifferentiated adbo pain indicate

A

sti

STIs may be asymptomatic or present in non specific ways such as conjunctivitis, rash, dysuria, inguinal adenopathy, ulcer, vaginal or urethral discharge, prostatitis, or with anal or pharyngeal symptoms

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15
Q

What complications can untreated STIs lead to

5

PP II C

A
  • PID
  • prostatitis
  • chronic pelvic pain
  • infertility
  • impact on developing fetus or neonate
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16
Q

Which adolescents should be offered screening for STIs

A

all sexually active youth under 25

additional risk factors like a new partner should increase screening

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17
Q

If a teen is immunodeficient or symptomatic what is the recommendation for STI testing

A

more frequently

18
Q

Are PAPs are routine pelvic exams needed for sexually active teens

A

no

in ontario starts at 21 regardless of sexual activity

should still do screening for STIs tho

19
Q

What is the role of HIV pre-exposure prophylaxis (PrEP)

A

intervention to reduce HIV transmission in high risk population

PrEP involves prescribing long-term, daily antiretroviral medication for individuals before they become exposed to HIV, to reduce risk of acquisition

20
Q

What is the purpose of the HIV post-exposure prophylaxis (PEP) program

A

involves taking antiretroviral medication to prevent HIV seroconversion after high-risk exposure has occurred

21
Q

For all sexually active youth < 25 years old what 3 testing options can be done to test for chalmydia and gonorrhoeae

A
  • first catch urine (first part of urinary stream)
  • urethral or cervical swab
  • vagingal self swab
22
Q

Who should have a pharyngeal or anal swab done to culture for chlamydia and gonorrhoeae

A

those who have oral or anal sex respectively

23
Q

What serology should be done on all sexually active youth

2

A

HIV serology
Syphilis serology

24
Q

In all sexually activeyouth with no or uncertain vaccination history what serology should be done for STIs

3

A

hep A
hep B
hep C

also those who have hx of IV drug use or partner with IVDU

25
Q

For Pap smears of females and trans males with intact cervixes when should PAP smears start

A

age 21

26
Q

Is consent needed for STI screening

A

yes - informed consent

no special consent is needed for HIV testing, just regular informed consent

27
Q

What is the best way to propostition HIV and syphilis screening

A

an opt-out approach

“Urine and blood testing are part of the routine screening that we offer to all sexually active teens. Even though the risk of HIV and syphilis may be low, treatments are available, and so it is important to identify infections that may be there even without symptoms. Is this ok with you?”

28
Q

What are the 4 important steps for providers to make patient aware of in the event of a postive STI test

A
  • pt may be contacted by health unit
  • communicate positive test with patient promptly
  • treat patient
  • treat partner when possible
29
Q

What is important vaccination wise for teens with STI

A

ensure HPV, hep A/B, varicella, and MMR are UTD

arrange catch up doses PRN

30
Q

What is the best method of protect from STIs

A

latex condoms

still not 100% effective but best

31
Q

What is wrong with spermicide-coated condoms

A

can promote STI tranmission

32
Q

For teens with latex allergy what should be recommended since they can’t use latex condoms

A

polyurethane or polyisoprene condoms should be recommended despite increased likelihood of breakage

33
Q

what can decrease sti transmission for oral or anal sex

A

dental dam

34
Q

What should the provider consider when a patient has early initation of sex

A

sexual abuse or assault

Sexting is another issue with possible legal implications that should be addressed with youth. Teens can be convicted for possessing and distributing child pornography, even when the picture they are sending is of themselves

35
Q

What is the age in Canada that a child cannot consent to any sexual activity

A

under 12

36
Q

When a child is 12-13 what type of sex can they consent to

A

non-exploitative sex as long as age difference does not exceed 2 years

37
Q

When teens are 14-15 years old what sex can they consent to

A

non-exploitative sex as long as age difference does not exceed 5 years

38
Q

When a teen is 16 what sex can they consent to

A

Can consent to non-exploitative sex

39
Q

What 3 sexual things can teens under 18 not consent to

A
  • Pornography
  • Prostitution
  • Sex with a person in a position of trust or authority
40
Q

What is teen dating violence

A

physical, sexual, psychological, or emotional violence within a dating relationship, including stalking

TDV can occur in-person or electronically, and might involve a current or former dating partner.