4.3 Flashcards
What ages are early adolescence?
11-13
When is middle adolescence?
14-17
24% of girls ages 14-19 have what?
an STD
What % of sexually active girls ages 14-19 have an STD?
40%
What is the most common STD in girls ages 14-19?
HPV
What are some behavioral risk factors for middle adolescent girls for STD’s?
multiple or new partners, partners with other partners, inconsistent use of condoms and alcohol and drug usage
What are some biological risk factors for middle adolescent girls for STD’s?
cervical ectopy or cervical immaturity
What are some general problems that arise when taking a sexual Hx from an adolescent?
consent for diagnosis and treatment, confidentiality, parental notification, and mandatory reporting of sexual history
How should you approach the sexual Hx taking of an adolescent?
straightforward and nonjudgemental, with appropriate counseling.
Who should genital examinations should be reserved for?
the evaluation of specific symptoms or to complete a differential diagnosis (like an STD)
Which STD’s cause Urethral/vaginal discharge and dysuria?
gonorrhea, chlamydia, trichomoniasis, bacterial vaginosis, and candidiasis
Which STD’s cause genital ulcer syndrome (GUS)?
herpes, syphilis
Which STD’s cause Pelvic inflammatory disease (PID)?
gonorrhea and chlamydia
What female cleansing routine increases the risk of PID?
Douching/fist pumping
