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Maternity > Sexually Transmitted Infections (Week 12 Voice Over) > Flashcards

Sexually Transmitted Infections (Week 12 Voice Over) Flashcards

1
Q

what prevention is the most effective way in reducing STI in women

A

primary

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2
Q

primary prevention

A

education

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3
Q

secondary prevention

A

promo diagnosis and treatment
- screening

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4
Q

6 P’s of STI

A

partners
prevention of Preg
protection
practices
past hx

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5
Q

knowing that non all women are in safe relationships mean

A

being nonjudgemental

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6
Q

what STI can we vaccinate agaisnt

A

hep b and hpv

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7
Q

what is the most common STI

A

chlamydia

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8
Q

what is the fastest spreading STI

A

chlamydia

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9
Q

chlamydia is ______ and highly destructive

A

silent

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10
Q

is chlamydia easy to diagnose

A

no

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11
Q

meds for chlamydia

A

doxycycline
azithromycin

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12
Q

chlamydia s/s

A

asymptomatic
spotting post intercourse
bleeding
mucoid purulent cervical discharge
dysuria

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13
Q

complication of chlamydia

A

PID

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14
Q

past diagnosis of chlamydia can lead to what with pregnancy and fertility

A

increase risk of ectopic preg and tubal factor infertility

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15
Q

what is the second most common

A

gonorrhea

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16
Q

gonorrhea drug reaction

A

is reissitant

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17
Q

gonorrhea s/s

A

women can often be asymptomatic
menstral irregularies
complaints of pain
dysuria
vague abdominal pain, low back pain
purulent endocervial discharge

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18
Q

when should pregnant women be screened for gonorrhea

A

first trimester and 36 weeks

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19
Q

meds for gonorrhea

A

ceftriaxone and azithromycin

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20
Q

perinatal complications of gonorrhea

A

premature ROM
premature birth
cohorio
neonatal sepsis
IUGR
maternal PP sepsis

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21
Q

syphylis cause

A

motile spirochete

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22
Q

gonorrhea cause

A

aerobic gram neg diplococcus

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23
Q

complications of syphylis

A

systemic and death

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24
Q

syphylis
- primary

A

5-90 days after exposure
lesion is a papule that is painless

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25
Q

syphylis
- secondary

A

6weeks to 6 mo
widespread rash on palms and sores, lymphadonoopahy

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26
Q

syphylis
- tertiary

A

develops in 1/3 of women infected
- neurological, cardio, musculoskeletal, multisystem organ involvement

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27
Q

2 types of testing for syphylis

A

nontreponemal
treponemal - confirm positive result

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28
Q

nontreponemal for syphylisis

A

VDRL
RPR

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29
Q

treponemal for syphylis

A

FTA-ABS
TP-PA

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30
Q

med for syphylis

A

penicillin

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31
Q

can you be sexually active while getting treatment for syphylis

A

no

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32
Q

PID

A

ascending spread of microorganisms
- involves the fallopian tubes, uterus, and occasionally the ovaries and peritoneal surfaces

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33
Q

complications of PID

A

ectopic pregnancy
infertility
chronic pelivc pain

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34
Q

s/s of PID

A

fever, chills, N/V, increase discharge, UTI symptoms, irregular bleeding, abdomen pain, c reactive protein

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35
Q

mediation treatment of PID

A

broad spectrum

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36
Q

t/f women with a hx of PID may still choose IUD as contraception

A

yes true

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37
Q

HPV is also known as

A

genital warts

38
Q

what is the most common viral STI seen in ambulatory health care settings

A

HPV

39
Q

HPV is the primary cause of what neoplasia

A

cervical

40
Q

HPV s/s

A

asymptomatic

41
Q

when does HPV resolve

A

with in a few years and spontaneously

42
Q

t/f HPV is more common in pregnancy

A

yes

43
Q

are there HPV vaccines

A

yes

44
Q

is herpes reportable

A

no

45
Q

s.s of herpes in women

A

more severe
papule, vesicle, pustule, ulcer, crust, no scar
watery purulent discharge

46
Q

initial herpes is characterized by

A

multiple painful lesions, fever, chills, malaise, and severe dysuria

HA, vulvar pain, inguinal lymphoidpathy

47
Q

when is the highest neonatal risk for herpes simplex 2

A

highest is among women with primary herpes lesion infection near term pregnancy

48
Q

what meds can we use for HSV to control symptoms

A

acyclovir

49
Q

if HSV visible lesions are present what is the preferred mode of birth

A

cesarean

50
Q

what types of Hep are common among

A

users of IV drugs and recipients of multiple blood transfusions

51
Q

hep a spread

A

fecal oral

52
Q

is there a hep a vaccine

A

yes

53
Q

hep a s/s

A

flu like symptoms
-anorexia, nausea, puritus, fever, right upper quadrant pain

54
Q

hep b s/s vaccination

A

yes

55
Q

what infection is most threatening to the fetus and the neonate

A

hep b

56
Q

hep b perinatal transmission is most often occurs in

A

infants of moms with acute hep infection in late 3rd tri or postpartum

57
Q

all preg should be screened for what hep

A

B

58
Q

hep B is a _____ infection

A

silent

59
Q

hep c s/s

A

asymp or flu like s/s

60
Q

hep c vaccines

A

no

61
Q

HIV transmission

A

exchange of body fluids

62
Q

what characterizes AIDS

A

severe depression of cellular immune system associated with HIV infection characterizes AIDS

63
Q

s/s of HIV

A

night sweat, HA, fever, malaise, generalized lymphadenopathy, myalgias, weight loss, sore throat, rash

64
Q

when can HIV mom to baby occur

A

perinatal
labor

65
Q

can HIV mom breastfeed

A

no, it can transfer

66
Q

what type of birth is recommended for HIV

A

C/S at 38 weeks

67
Q

when is vaginal birth acceptable for HIV

A

viral load is less than 1000 copies/mL at 36
rupture of membranes and labor is progressing rapidly

68
Q

normal vaginal discharge

A

clear-cloudy, may turn yellow after drying, mild inoffensive odor, acidic, normal flora

69
Q

what is the most frequent reason to seek gynecologic care

A

vaginal discharge and itching

70
Q

vulvovaginitis

A

inflammation of the vulva and vagina

71
Q

BV s/s

A

discharge is very profuse, thin and white/gray/milky, mild irritation or itching, fishy odor

72
Q

what is the most common cause of vaginal symptoms

A

BV

73
Q

BV treatment

A

oral metronidazole

74
Q

what are some considerations of metronidazole

A

can’t be breastfeed while taking, if breastfeeding pump and dump to maintain supply
pump and dump 12 hours after last dose

75
Q

candidiasis s/s

A

vulvar and possibly vaginal puritits
mild or intense interference with activities, vulva and labial folds are red and swollen
discharge is thick, white, and lumpy cottage cheese with yeasty musty odor

76
Q

what is candidiasis

A

yeast infection

77
Q

predisposing for candidacies

A

antibiotic therapy
diabtes
pregnancy
obesity
diets high in refined sugars
use of steroids
immunosuppressed states

78
Q

if pH is normal what is it

A

yeast

79
Q

if pH is +4.5

A

trick or BV

80
Q

management of yeast

A

iver counter

81
Q

trich s.s

A

yellow green discharge
frothy copies malodorous
strawberry spots on cervix
inflammation of vagina and or vulva

82
Q

casual agent of trich

A

aerobic one celled protozoan with flagella

83
Q

tx of trich

A

metronidazole or tinidazole in single dose

84
Q

GBS
- is it normal flora

A

yes

85
Q

GBS associated with what in pregnancy

A

poor outcomes

86
Q

when is GBS screening

A

36-37 weeks
- rectal vaginal culture

87
Q

GBS treatment

A

IV prophylaxis
- penicillin or ampicillin

88
Q

GBS risk for pregnancy

A

preterm birth
>18 hr rupture of membranes, intrapartum fever of 100.4,

89
Q

what are capable of crossing the placenta

A

TORCH
toxoplasmosis
other infections (hep, HIV)
rubella
cytomegalovirus
herpes simplex virus (HSV)

  • all have influenza like symptoms
90
Q

all states require that these STI are to be reported to public health officals

A

syphilis
gonorrhea
chlamydia
chancroid
HIV and AIDS

91
Q

precautions to use

A

PPE

92
Q
A

Maternity (25 decks)

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