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OB > Ch.4 STI > Flashcards

Ch.4 STI Flashcards

1
Q

Past chlamydia infections increase risk for

A

ectopic pregnancy

Tubal factor infertility

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2
Q

Infants born to mothers with chlamydia are at risk for developing

A

conjunctivitis

pneumonia

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3
Q

What is the common drug to treat Chlamydia

A

Azithromycin

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4
Q

What are the perinatal complications of Gonorrhea

A 
PROM
preterm birth
neonatal sepsis
IUGR
Maternal postpartum sepsis
Amniotic infections
Umbilical cord inflammation
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5
Q

What is the drug of choice to treat Gonorrhea

A

Ceftriaxone

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6
Q

What are the characteristics of primary Syphilis

A

primary lesion (chancre)- appears 5-90days after infection.

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7
Q

What are the characteristics of secondary Syphilis

A

6weeks-6months after appearance of chancre, wide spread, symmetric rash on palms and soles
fever
headache
malaise

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8
Q

What are the characteristics of Tertiary Syphilis

A

neurologic, cardiovascular, musculoskeletal, multiorgan system complications

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9
Q

What is the preferred drug to treat syphilis

A

Penicillin G

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10
Q

What are the symptoms of HPV

A

genital warts, lesions found around the butt, vulva, anus, cervix. they are usually painless but can can be uncomfortable
Chronic vaginal discharge, pruritus, dyspareunia may occur.

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11
Q

How do we manage HPV

A

untreated warts may resolve on their own if women has strong immune system
no therapy has been known to eradicate HPV, remove warts and relief symptoms with (imiquimod, podophyllin, podofilox) pregnant women can not use

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12
Q

What are some preventive strategies women can use for HPV

A

abstinence

vaccines- Cervarix, Gardasil

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13
Q

What are the characteristics of Herpes Simplex Virus

A

multiple painful lesions, fever, chills, malaise. sever dysuria may last 2-3 weeks

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14
Q

Primary HSV within the 1st trimester is associated with

A

increased miscarriage rate

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15
Q

Is there a cure for genital herpes

A

No. it is a chronic and recurring disease for which there is no known cure.

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16
Q

What medications can be used to reduce the duration and frequency of HSV outbreaks

A

Acyclovir

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17
Q

What route of delivery is preferred if the mother has noticeable HSV lesions

A

C-section

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18
Q

How is Hep A acquired

A

through fecal-oral route by ingestion of contaminated food

19
Q

How is Hep A treated

A

the condition clears up on its own in a few months. rest and hydration can help

20
Q

What is Hep B

A

A serious liver infection caused by the hepatitis B virus

21
Q

What are some of the common symptoms of Hep B

A

arthralgias, arthritis, lassitude, anorexia, nausea, vomiting, headache, fever, mild abdominal pain , jaundice, dark urine

22
Q

How do we treat Hep B

A

no specific treatment, usually recovery in 3-16 weeks. Chronic cases may need liver transplant

23
Q

What type of diet is encouraged for women who have Hep B

A

high-protein, low-fat diet

avoid medications metabolized by the liver and alcohol

24
Q

Is Hep B preventable

A

Yes, with Hep B vaccine (3shot series over 6months)

25
Q

Can women who have Hep B breastfeed

A

Yes. breastfeeding is not contraindicated if their infants received prophylaxis at birth and are currently on the immunization schedule

26
Q

How is Hep C transmitted

A

exposure to blood

27
Q

How do we treat Hep C

A

Interferon alfa alone or with ribavirin for 6-12 months

28
Q

Is there a vaccine for Hep C

A

No.

29
Q

Can women with HIV breastfeed

A

Avoidance of breastfeeding is recommended

30
Q

What are the symptoms of Bacterial Vaginosis

A

clue cells (vaginal epithelial cells coated with bacteria) , fishy odor, thin vaginal discharge

31
Q

How do we treat Bacterial Vaginosis

A

Flagyl (metronidazole)

women should not take if breastfeeding

32
Q

What are some of the adverse outcomes associated with Bacterial Vaginosis

A

preterm labor
PROM
intraamniotic infection
postpartum endometriosis

33
Q

What are the characteristics of Trichomoniasis

A

yellow-green, frothy, malodorous, copious discharge.
inflammation of vulva, vagina
Dysuria, dyspareunia
Strawberry spots

34
Q

What is the treatment for Trichomoniasis

A

Flagyl (metronidazole)

35
Q

When are women screened for GBS

A

35-37weeks

36
Q

Define simple mastectomy

A

removal of the breast containing the tumor

37
Q

Define modified radial mastectomy

A

removal of the breast tissue, skin, and fascia of the pectorals muscle and dissection of the nodes

38
Q

Define radical mastectomy

A

removal of the breast and underlying pectorals muscles and complete ancillary node dissection

39
Q

Define Lumpectomy

A

Removal of breast tumor and small amount of surrounding tissue

40
Q

How do Tamoxifen and Raloxifene work

A

Block the effect estrogen

41
Q

How often should the surgical drain be emptied after a mastectomy

A

Twice a day/ PRN

42
Q

In regards to personal hygiene following a mastectomy women should avoid

A

depilatory creams, strong deodorants, shaving

43
Q

T/F Following a mastectomy, women will have decreased sensation and tingling at incision sites and in the affected arm for weeks to months after surgery

A

True (pg 105)

OB (24 decks)

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