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371 Final Exam > Sexuality > Flashcards

Sexuality Flashcards

1
Q

Special Considerations in Teen Pregnancy

A
  • limited experience seeking health care independently
  • need assistance navigating complex health care system
  • need to know their concerns are being heard
  • nurse needs to pay attention to what they don’t verbalize
  • potential knowledge deficit and embarrassment
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2
Q

Main causes of teen mortality in the US are…

A
  • high risk behaviors
  • Disease: HIV, STIs, smoking, sedentary lifestyle
  • Behaviors: MVAs, homicide, suicide, accidental injuries
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3
Q

What are 3 reasons why teen delay the seeking of pregnancy services?

A
  1. fail to recognize the signs of pregnancy
  2. falsely hoping the pregnancy will just go away
  3. keeping the pregnancy a secret from family members
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4
Q

Increased risk for substance abuse, poor compliance with prenatal care, and poor birth outcome are all associated with…

A

violence during pregnancy

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5
Q

What is the highest risk factor for having a repeat pregnancy?

A

coming from a disadvantaged background

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6
Q

Teen mothers who have a closely spaced second pregnancy have…

A

poorer birth, educational, and economic outcomes than those who do not

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7
Q

What percentage of teen births are repeat births?

A

~19%

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8
Q

What groups are at risk for impaired sexuality?

A
  • adolescents
  • minorities
  • intellectually and developmentally disabled
  • newly unpartnered
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9
Q

Risk Factors for Impaired Sexuality

A
  • multiple partners
  • casual partners
  • unsafe sex
  • substance abuse
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10
Q

What are the most prevalent STDs?

A

chlamydia, syphilis, and gonorrhea

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11
Q

Chlamydia: Signs & Symptoms

A
  • may be asymptomatic
  • discharge
  • inflammation of the rectum and lining of the eye
  • can be found inside the throat
  • epididymis and urethral tingling
  • PID
  • endocervicitis
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12
Q

Chlamydia: Treatment

A
  • azithromycin
  • doxycycline
  • erythromycin
  • ofloxacin
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13
Q

What is the MOST common STI?

A

chlamydia

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14
Q

What is the highest predictor of a chlamydial infection?

A

Age–between 15 and 19 years old

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15
Q

Gonorrhea: Signs & Symptoms

A
  • may be asymptomatic
  • dysuria
  • discharge
  • arthritis
  • PID
  • urinary frequency in females
  • epididymitis
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16
Q

Gonorrhea: Treatment

A

suprax, cipro, rocephin, floxin, levaquin, zithromax, vibramycin

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17
Q

Herpes Type II: Signs & Symptoms

A

blister-like genital lesions, dysuria, headache, muscle aches

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18
Q

Herpes Type II: Treatment

A
  • acyclovir

- no cure

19
Q

Syphilis: Signs & Symptoms

A

chancres, rash, sore throat, lymphadenopathy, flu-like symptoms

20
Q

Syphilis: Treatment

A

penicillin G, doxycycline, erythromycin

21
Q

Trichomoniasis: Signs & Symptoms

A

yellow/grey, frothy, odorous vaginal discharge, vulvar itching, edema, and redness

22
Q

Trichomoniasis: Treatment

A

topical clotrimazole

23
Q

Bacterial Vaginosis: Signs & Symptoms

A

thin, grey vaginal discharge with fish-like odor, intense pruritus

24
Q

Bacterial Vaginosis: Treatment

A

metronidazole, clindamycin, tinidazole

25
Q

Which two STDs are vaccine-preventable?

A

Hepatitis B (HBV) and HPV

26
Q

What percentage of women develop PID after having an undiagnosed chlamydial infection?

A

10-15%

27
Q

What percentage of women with PID develop tubal factor infertility?

A

10-15%

28
Q

Women who have PID are __x more likely to have an ectopic pregnancy than women who do not

A

6-10

29
Q

What percentage of ectopic pregnancies can be attributed to PID?

A

40-50%

30
Q

What strains of HPV lead to genital warts?

A

6/11

31
Q

What strains of HPV lead to cervical cancer?

A

16/18

32
Q

True or False: The majority of HPV cases that lead to death occur in low- and middle-income countries.

A

True

33
Q

Why do most HPV cases that result in death occur in low- and middle-income countries?

A

There is little or no access to cervical cancer screening and treatment

34
Q

All of the curable STIs have been linked with…

A

preterm labor

35
Q

What serious eye infection can a newborn get if his/her mother had an untreated chlamydial or gonorrheal infection?

A

Opthalmis neonatorum

36
Q

What complication can result from untreated opthalmis neonatorum?

A

blindness

37
Q

How does sexuality change as males get older?

A
  • getting an erection takes longer
  • the erection may be less rigid
  • longer delay before ejaculation
  • orgasm is less intense
  • erection is lost quickly after ejaculation
38
Q

How does sexuality change as females get older?

A
  • vaginal lubrication takes longer
  • the length and width of the vagina decreases
  • resolution phase of the sexual response occurs more quickly
  • clitoral retraction and orgasmic platform disappear quickly after orgasm
39
Q

What are the phases of the human sexual response?

A
  1. Excitement Phase
  2. Plateau Phase
  3. Orgasmic Phase
  4. Resolution Phase
40
Q

What are positive sexual attitudes and behaviors?

A
  • being present
  • authenticity
  • intense emotional connection
  • sexual and erotic intimacy
  • communication
  • transcendence
41
Q

What is included in a sexual history?

A
  • usual sexual patterns
  • number of partners
  • frequency of sexual activity
  • level of satisfaction
  • knowledge level of sexual functioning
  • perceived problems
42
Q

In the female sexual response, stimulation leads to…

A

vasocongestion

43
Q

What is the hormone of sexual desire?

A

Testosterone

371 Final Exam (10 decks)

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