Ch.4 STI Flashcards
Past chlamydia infections increase risk for
ectopic pregnancy
Tubal factor infertility
Infants born to mothers with chlamydia are at risk for developing
conjunctivitis
pneumonia
What is the common drug to treat Chlamydia
Azithromycin
What are the perinatal complications of Gonorrhea
PROM preterm birth neonatal sepsis IUGR Maternal postpartum sepsis Amniotic infections Umbilical cord inflammation
What is the drug of choice to treat Gonorrhea
Ceftriaxone
What are the characteristics of primary Syphilis
primary lesion (chancre)- appears 5-90days after infection.
What are the characteristics of secondary Syphilis
6weeks-6months after appearance of chancre, wide spread, symmetric rash on palms and soles
fever
headache
malaise
What are the characteristics of Tertiary Syphilis
neurologic, cardiovascular, musculoskeletal, multiorgan system complications
What is the preferred drug to treat syphilis
Penicillin G
What are the symptoms of HPV
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.
How do we manage HPV
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
What are some preventive strategies women can use for HPV
abstinence
vaccines- Cervarix, Gardasil
What are the characteristics of Herpes Simplex Virus
multiple painful lesions, fever, chills, malaise. sever dysuria may last 2-3 weeks
Primary HSV within the 1st trimester is associated with
increased miscarriage rate
Is there a cure for genital herpes
No. it is a chronic and recurring disease for which there is no known cure.
What medications can be used to reduce the duration and frequency of HSV outbreaks
Acyclovir
What route of delivery is preferred if the mother has noticeable HSV lesions
C-section
How is Hep A acquired
through fecal-oral route by ingestion of contaminated food
How is Hep A treated
the condition clears up on its own in a few months. rest and hydration can help
What is Hep B
A serious liver infection caused by the hepatitis B virus
What are some of the common symptoms of Hep B
arthralgias, arthritis, lassitude, anorexia, nausea, vomiting, headache, fever, mild abdominal pain , jaundice, dark urine
How do we treat Hep B
no specific treatment, usually recovery in 3-16 weeks. Chronic cases may need liver transplant
What type of diet is encouraged for women who have Hep B
high-protein, low-fat diet
avoid medications metabolized by the liver and alcohol
Is Hep B preventable
Yes, with Hep B vaccine (3shot series over 6months)
Can women who have Hep B breastfeed
Yes. breastfeeding is not contraindicated if their infants received prophylaxis at birth and are currently on the immunization schedule
How is Hep C transmitted
exposure to blood
How do we treat Hep C
Interferon alfa alone or with ribavirin for 6-12 months
Is there a vaccine for Hep C
No.
Can women with HIV breastfeed
Avoidance of breastfeeding is recommended
What are the symptoms of Bacterial Vaginosis
clue cells (vaginal epithelial cells coated with bacteria) , fishy odor, thin vaginal discharge
How do we treat Bacterial Vaginosis
Flagyl (metronidazole)
women should not take if breastfeeding
What are some of the adverse outcomes associated with Bacterial Vaginosis
preterm labor
PROM
intraamniotic infection
postpartum endometriosis
What are the characteristics of Trichomoniasis
yellow-green, frothy, malodorous, copious discharge.
inflammation of vulva, vagina
Dysuria, dyspareunia
Strawberry spots
What is the treatment for Trichomoniasis
Flagyl (metronidazole)
When are women screened for GBS
35-37weeks
Define simple mastectomy
removal of the breast containing the tumor
Define modified radial mastectomy
removal of the breast tissue, skin, and fascia of the pectorals muscle and dissection of the nodes
Define radical mastectomy
removal of the breast and underlying pectorals muscles and complete ancillary node dissection
Define Lumpectomy
Removal of breast tumor and small amount of surrounding tissue
How do Tamoxifen and Raloxifene work
Block the effect estrogen
How often should the surgical drain be emptied after a mastectomy
Twice a day/ PRN
In regards to personal hygiene following a mastectomy women should avoid
depilatory creams, strong deodorants, shaving
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
True (pg 105)
