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Maternal Child And Health Nursing > Sexually Transmitted Disease or infection > Flashcards

Sexually Transmitted Disease or infection Flashcards

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1
Q

are diseases that are spread though sexual contact with an infected partner.

A

Sexually Transmitted Infections (STIs)

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2
Q

provides the best protection against STIs

A

Abstinence or Condom

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3
Q

is a vaginal infection spread by the fungus Candida

A

Candidiasis

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4
Q

an organism that thrives on glycogen

A

Candidiasis

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5
Q

provides the perfect environment for candidal growth

A

Hyperglycemia

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6
Q

Under a microscope, it indicates the presence of candida organisms

A

typical fungal hyphae

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7
Q

a pH level of 4.5 plus itching and/or burning, unusual discharge, or a yeasty odor suggest

A

a yeast infection

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8
Q

Upon assessment for candidiasis, the adolescent will notice what?

A

vulvar and vaginal reddening, burning and itching, and even bleeding from hairline fissures.

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9
Q

Upon assessment of the candidiasis, _____ can usually be observed at the vaginal outlet.

A

A thick, cream cheese-like discharge

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10
Q

For assessment of Candidiasis. Internally, the vagina shows what patches.

A

white patches

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11
Q

Therapy for candidal infections includes

A

vaginal tablets or cream applications such as MICONAZOLE or CLOTRIMAZOLE

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12
Q

Administration for miconazole or clotrimazole

A

Once a day for 3 to 7 days

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13
Q

For candidiasis, ____ should be tested to rule out diabetes melitus

A

Urine

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14
Q

changes the flora of the microenvironment and can be associated with candidal infections

A

Use of oral contraceptives

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15
Q

is the most prevalent, curable STI in the United States

A

Trichomonas Vaginalis

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16
Q

What is the incubation period of Trichomonas Vaginalis

A

4 to 20 days

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17
Q

serious consequence of trichomoniasis

A

genital inflammation

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18
Q

with a trichomonal infection, females may notice

A

*slight vaginal discharge
*extreme vaginal itching or
*frothy white or grayish-green vaginal discharge

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19
Q

Infection of trichomonas vaginalis is diagnosed showing

A

trichomonads typically appear as rounded, mobile structures in microscopic examination

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20
Q

prevents recurrence of Trichomonas

A

Use of condoms

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21
Q

these medicines eradicates trichomonal infections

A

Oral metronidazole or tinidazole

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22
Q

therapeutic management for Trichomonas

A

caution the patient not to drink alcoholic beverages during the course of treatment

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23
Q

is defined as the absence or deficiency of lactobacili in the vaginal flora and it occurs frequently among adolescents

A

Bacterial Vaginosis

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24
Q

Microscopic examination for the Bacterial Vaginosis discharge shows

A

Gram-negative rods adhering to vaginal epithelial cells

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25
Q

Treatment for bacterial vaginosis

A

oral (7 days) or vaginal (5 days) metronidazole

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26
Q

Incubation period of Chlamydia Trachomatis

A

1 to 5 wweks

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27
Q

symptoms of Chlamydia Trachomatis

A

include a heavy, grayish-white discharge and vulvar itching.

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28
Q

Diagnosis of Chlamydia Trachomatis

A

identification of organism by cervix or urethra swab

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29
Q

Medication for chlamydia Trachomatis

A

oral Doxycycline for 7 days or azithromycin as a single dose

30
Q

If chlamydial infection is documented, screening for ________ is indicated

A

Gonorrhea

31
Q

Long-term effects of chlamydial infection are

A

Pelvic inflammatory Disease leading to subfertility

32
Q

causes fibrous tissue overgrowth on the external vulva, vagina, or cervix.

A

Human Papillomavirus

33
Q

are recommended as part of routine administration to all adolescent to prevent many strains of HPV

A

Gardasil or Cervarix Vaccines

34
Q

Genital Herpes is caused by

A

herpesvirus hominis type 2

35
Q

herpesvirus hominis type 2 is also called as

A

HSV type 2 or HSV-2

36
Q

four similar herpesvirus:

A

*cytomegalovirus
*Epstein-Barr
*Varicella Zoster
*HSV-1 and HSV-2

37
Q

Herpes is diagnosed by

A

culture of the lesion secretion from the vulva, vagina, cervix, or penis

38
Q

incubation period of Herpes Genitalis

A

3 to 14 days

39
Q

antivirus that controls the virus of Herpes Genitalis

A

Both Acyclovir and valacyclovir

40
Q

may be prescribed for resistant lesions for Herpes Genitalis

A

Topical imiquimod or foscarnet

41
Q

Gonorrhea is transmitted by what organism

A

Neisseria Gonorrhoeae

42
Q

a gram-positive diplococcus which thrives on the mucous membrane of the vagina or penis

A

Neisseria Gonorrhoeae

43
Q

Symptoms of Gonorrhea in Male

A

Urethritis and a urethral discharge

44
Q

Symptoms of Gonorrhea in Female

A

slight yellowish vaginal discharge

45
Q

For Gonorrhea in both male and female, if systemic involvement occurs, what can develop?

A

arthritis or heart disease can develop

46
Q

Diagnosis for Gonorrhea

A

a urine culture for the gonococcal bacillus

47
Q

is the current recommended therapy for Gonorrhea

A

One intramuscular injection of ceftriaxone

48
Q

Approximately __hrs after beginning treatment, Gonorrhea is no longer infectious.

A

24 hours

49
Q

Gonorrhea is associated with _________,____________, and _________ in the postpartum period.

A

Spontaneous Miscarriage, preterm birth, and endometritis

50
Q

what is prescribe for Gonorrhea during pregnancy

A

Azithromycin

51
Q

is a systemic disease transmitted by the spirochete treponema pallidum

A

Syphilis

52
Q

Syphilis is a systemic disease transmitted by what organism

A

Spirochete Treponema Pallidum

53
Q

what is the term of the deep ulcer that appears in patients with Syphilis

A

“Chancre

54
Q

after an incubation period of 10 to 90 days, what appears in patients with Syphilis

A

a deep ulcer (Chancre)

55
Q

a chancre last approximately what weeks

A

approximately 6 weeks

56
Q

Final stage of Syphilis

A

involves major body organs, such as the heart and nervous system.

57
Q

What are the symptoms in the final stage of Syphilis

A

*blindness
*paralysis
*mental confusion
*slurred speech
*lack of coordination

58
Q

First stage of Syphilis

A

a deep ulcer (chancre) appears

59
Q

second stage of Syphilis

A

A generalized, macular, copper-colored rash appears

60
Q

What are the serologic tests that can be done for Syphilis infection

A

*Venereal Disease Research Laboratory (VDRL)
*Automated Reagin Test (ART
*Rapid Plasma Reagin (RPR)
*Fluorescent Treponemal Antibody-absorption test (FTA-ABS)

61
Q

effective therapy for Syphilis

A

Benzathine penicillin G given intramuscularly in two sites.

62
Q

For adolescents that has Syphilis but is sensitive to penicillin, what can be given?

A

either oral erythromycin or tetracycline can be given for 10 to 15 days.

63
Q

After syphilis therapy, adolescents may experience what reaction?

A

Jarisch-Herxheimer

64
Q

Why does Jarisch-Herxheimer reaction happens after syphilis therapy?

A

because of the sudden destruction of Spirochetes

65
Q

During pregnancy, screening for syphilis is performed during what time

A

at first prenatal visit

66
Q

is the drug of choice for the treatment of syphilis during pregnancy

A

One injection of Benzathine Penicillin G

67
Q

If Group B streptococcal infection can be contracted during pregnancy, consequences can include

A

UTIs, Intra-amniotic infections, preterm birth, and postpartum endometritis

68
Q

Pregnancy persons are generally screened for streptococcus B at what number of weeks of pregnanancy

A

35 to 38 weeks

69
Q

If neonates can become infected by Streptococcal infection, they can develop what?

A

*sever pneumonia
*sepsis
*respiratory disease syndrome
*meningitis

70
Q

is the treatment of choice for Group B Streptococcal infection

A

A broad-spectrum penicillin such as ampicillin

Maternal Child And Health Nursing (46 decks)

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