Chapter 7: Sexually Transmitted + Other Infections Flashcards
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?
d. Appearance of a chancre 2 months after infection
The human papillomavirus (HPV), also known as genital 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 is inaccurate?
a. Only one vaccine for the HPV is available.
Which sexually transmitted infection (STI) is the most commonly reported in American women?
c. Chlamydia
The Centers for Disease Control and Prevention (CDC) recommends which therapy for the treatment of the HPV?
b. Topical podofilox 0.5% solution or gel
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?
Fluconazole
Which laboratory testing is used to detect the human immunodeficiency virus (HIV)?
b. HIV antibody testing
Which condition is the most life-threatening virus to the fetus and neonate?
c. Hepatitis B virus (HBV)
Which treatment regime would be most appropriate for a client who has been recently diagnosed with acute pelvic inflammatory disease (PID)?
b. Bed rest in a semi-Fowler position
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?
a. Bacterial vaginosis
Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?
a. Herpes simplex virus 2 (HSV-2)
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?
6 to 12 weeks
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?
b. “HPV stands for ‘human papillomavirus.’ It is a sexually transmitted infection that may lead to cervical cancer.”
Which STI does not respond well to antibiotic therapy?
Genital herpes
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?
b. HAV is acquired by eating contaminated food or drinking polluted water.
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
d. Trichomoniasis
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?
a. Strategies to enhance condom use
Group B Streptococcus (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 is not a risk factor for neonatal GBS infection?
d. Premature rupture of membranes (PROM) 24 hours or longer before the birth
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?
a. Vomiting and diarrhea
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?
a. Wear gloves.
The nurse providing care in a women’s health care setting must be knowledgeable about STIs. Which STIs can be successfully treated?
d. Chlamydia
What is the drug of choice for the treatment of gonorrhea?
c. Ceftriaxone
Which sexual behaviors are associated with exposure to an STI? (Select all that apply.)
a. Fellatio b. Unprotected anal intercourse c. Multiple sex partners
Which statements regarding the HPV are accurate? HPV infections:
b. are thought to be more common in pregnant women than in women who are not pregnant. c. were previously called genital warts. e. may cause cancer.
. 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?
a. Intrapartum treatment with antiviral medications b. Cesarean birth treatment with antiviral medications d. Avoidance of breastfeeding
