ch 7

Question 1

1. Syphilis is a complex disease that can lead to serious systemic illness and even death if left
   untreated. Which manifestation differentiates primary syphilis from secondary syphilis?

Answer 1

Appearance of a chancre 2 months after infection

Question 2

2.The human papillomavirus (HPV), also known asgenital warts, affects 79 million Americans,
with an estimated number of 14 million new infections each year. The highest rate of infection
occurs in young women, ages 20 to 24 years. Prophylactic vaccination to prevent the HPV is
now available. Which statement regarding this vaccine isinaccurate?

Answer 2

a. Only one vaccine for the HPV is available.

Question 3

3.Which sexually transmitted infection (STI) is the most commonly reported in American
women?

Answer 3

Chlamydia

Question 4

4.The Centers for Disease Control and Prevention (CDC) recommends which therapy for the
treatment of the HPV?

Answer 4

Topical podofilox 0.5% solution or gel

Question 5

5.A client exhibits a thick, white, lumpy, cottage cheese–like discharge, along with white
patches on her labia and in her vagina. She complains of intense pruritus. Which medication
should the nurse practitioner order to treat this condition?

Answer 5

Fluconazole

Question 6

6.Which laboratory testing is used to detect the human immunodeficiency virus (HIV)?

Answer 6

HIV antibody testing

Question 7

7.Which condition is the most life-threatening virus to the fetus and neonate?

Answer 7

Hepatitis B virus (HBV)

Question 8

8.Which treatment regime would be most appropriate for a client who has been recently
diagnosed with acute pelvic inflammatory disease (PID)?

Answer 8

Bed rest in a semi-Fowler position

Question 9

9.On vaginal examination of a 30-year-old woman, the nurse documents the following findings:
profuse, thin, grayish-white vaginal discharge with a “fishy” odor and complaints of pruritus.
Based upon these findings, which condition would the nurse suspect?

Answer 9

Bacterial vaginosis

Question 10

10.Which viral sexually transmitted infection is characterized by a primary infection followed by
recurrent episodes?

Answer 10

Herpes simplex virus 2 (HSV-2)

Question 11

11.The nurse should understand the process by which the HIV infection occurs. Once the virus
has entered the body, what is the time frame for seroconversion to HIV positivity?

Answer 11

6 to 12 weeks

Question 12

12.A 25-year-old single woman comes to the gynecologist’s office for a follow-up visit related to
her abnormal Papanicolaou (Pap) smear. The test revealed that the client has the HPV. The
woman asks, “What is that? Can you get rid of it?” Which is the best response for the nurse to
provide?

Answer 12

“HPV stands for ‘human papillomavirus.’ It is a sexually transmitted infection that may lead
to cervical cancer.”

Question 13

13.Which STI doesnotrespond well to antibiotic therapy?

Answer 13

Genital herpes

Question 14

14.Five different viruses (A, B, C, D, and E) account for almost all cases of hepatitis infections.
Which statement regarding the various forms of hepatitis is most accurate?

Answer 14

HAV is acquired by eating contaminated food or drinking polluted water.

Question 15

15.A 21-year-old client exhibits a greenish, copious, and malodorous discharge with vulvar
irritation. A speculum examination and wet smear are performed. Which condition is this client
most likely experiencing?

Answer 15

Trichomoniasis

Question 16

16.An essential component of counseling women regarding safe sex practices includes a
discussion regarding avoiding the exchange of body fluids. The most effective physical barrier
promoted for the prevention of STIs and HIV is the condom. To educate the client about the use
of condoms, which information related to condom use is the most important?

Answer 16

Strategies to enhance condom use

Question 17

17.Group BStreptococcus(GBS) is part of the normal vaginal flora in 20% to 30% of healthy
pregnant women. GBS has been associated with poor pregnancy outcomes and is an important
factor in neonatal morbidity and mortality. Which finding isnota risk factor for neonatal GBS
infection?

Answer 17

Premature rupture of membranes (PROM) 24 hours or longer before the birth

Question 18

18.Clients treated for syphilis with penicillin may experience a Jarisch-Herxheimer reaction.
Which clinical presentation would be unlikely if a client is experiencing this reaction?

Answer 18

Vomiting and diarrhea

Question 19

19.The health history and physical examination cannot reliably identify all persons infected with
HIV or other blood-borne pathogens. Which infection control practice should the nurse use when
providing eye prophylaxis to a term newborn?

Answer 19

Wear gloves.

Question 20

20.The nurse providing care in a women’s health care setting must be knowledgeable about STIs.
Which STIs can be successfully treated?

Answer 20

Chlamydia

Question 21

21.What is the drug of choice for the treatment of gonorrhea?

Answer 21

Ceftriaxone

Question 22

1.Which sexual behaviors are associated with exposure to an STI?(Select

Answer 22

Fellatio

b. Unprotected anal intercourse
c. Multiple sex partners

Question 23

2.Which statements regarding the HPV are accurate?(Select

Answer 23

are thought to be more common in pregnant women than in women who are not pregnant.

were previously called genital warts.

may cause cancer.

Question 24

3.A 23-year-old primiparous client with inconsistent prenatal care is admitted to the hospital’s
maternity unit in labor. The client states that she has tested positive for the HIV. She has not
undergone any treatment during her pregnancy. The nurse understands that the risk of perinatal
transmission can be significantly decreased by a number of prophylactic interventions. Which
interventions should be included in the plan of care?

Answer 24

a. Intrapartum treatment with antiviral medications
b. Cesarean birth
d. Avoidance of breastfeeding

Question 25

4.A group of infections known collaboratively as TORCH infections are capable of crossing the
placenta and causing serious prenatal effects on the fetus. Which infections are included in this
group of organisms?

Answer 25

Toxoplasmosis
b. Other infections
Herpes simplex

Question 26

5.The nurse should be familiar with the use of the five Ps as a tool for evaluating risk behaviors
for STIs and the HIV. Which components would the nurse include in her use of the five Ps as an
assessment tool?

Answer 26

Number of partners

Prevention of pregnancy

Protection from STIs

Past history

Question 27

6.Counseling and education are critical components of the nursing care of women with herpes
infections. Clients should be taught to identify triggers that might result in a herpes attack.
Which factors are possible triggers for a recurrence?(Select all that apply.)

Answer 27

a. Menstruation
b. Trauma
c. Febrile illness
e. Ultraviolet light