SIM Lab Quiz 1

Question 1

chlamydia definition

Answer 1

most common STD

can cause serious reproductive damage i.e. ectopic pregnancy

Question 2

how is chlamydia spread

Answer 2

vaginal, oral, anal sex (even without ejaculation)

can get chlamydia again after tx

can pass on during childbirth

Question 3

reducing risk of getting chlamydia

Answer 3

abstinence
long-term mutual monogamy
latex condoms

Question 4

who is at risk of getting chlamydia

Answer 4

sexually active young people

• -behaviors
• -biological factors

get tested at least every year

Question 5

pregnancy and chlamydia

Answer 5

can pass to baby during delivery (eye infection, pneumonia)

can cause early delivery

Question 6

chlamydia symptoms in women

Answer 6

abnormal vaginal discharge
burning during urination

often asymptomatic

Question 7

chlamydia symptoms in men

Answer 7

discharge
burning during urination
pain/swelling in testicles

often asymptomatic

Question 8

rectal symptoms of chlamydia

Answer 8

rectal pain
discharge
bleeding

Question 9

chlamydia treatment

Answer 9

can be cured
repeat infection common
no sex for 7 days

azithromycin 1g x 1
doxycycline 100 mg bid x 7

Question 10

chlamydia w/o tx

Answer 10

PID: infertility, ectopic pregnancy

increase risk for HIV

Question 11

azithromycin

Answer 11

1gm PO x 1
bacterial infections
nursing considerations:
--GI effects; C.diff
--QT prolongation
--SJS
macrolide:
--inhibits RNA-dependent synthesis via binding to 50S subunit of 70S ribosomes

Question 12

communication with adolescents

Answer 12

trust w/o judgement
begin straightforward
explain purpose of interaction
engage in discussion
explain confidentiality
privacy
HEADSS tool
active listening
stay calm

Question 13

CLEAR

Answer 13

context
listening
empowerment
advice
reassurance

Question 14

recommended adolescent vaccines

Answer 14

Tdap
meningococcal
HPV
flu

Question 15

vaccines at 7-10 yo

Answer 15

Tdap: childhood catch-up
meningococcal: high-risk
Flu: recommended

Question 16

vaccines at 11-12 yo

Answer 16

all 4 recommended

Question 17

vaccines at 13-18 yo

Answer 17

Tdap: catch-up
HPV: catch-up
meningococcal: recommended
flu: recommended

Question 18

HPV vaccine general

Answer 18

many strains
some cause cervical cancer
some cause warts
some cause other cancers

3-dose vaccine series

Question 19

HPV vaccine recommendations

Answer 19

all 11-12 yo children

girls: protect against cervical cancer
boys: protect against genital warts and anal cancer (particularly MSM and immunocompromised)

3 doses:

• -2nd dose is 1-2 mo after 1st
• -3rd dose is 6 mo after 1st

same brand should be used when possible

should be administered before any sexual activity

risk for infection high immediately following sexual debut

Question 20

HPV vaccine side effects

Answer 20

pain, headache, redness, swelling

Question 21

HPV vaccine contradindications/precautions

Answer 21

pregnancy (series delayed until end of pregnancy)

hypersensitivity
yeast in Gardisil
(latex in Cervarix)

Question 22

IM injection sites and volumes

Answer 22

deltoid (1-2ml)
vastus lateralis (3-5 ml)
ventrogluteal (3-5 ml)

sometimes dorsogluteal (4ml)

Question 23

HPV vaccine volumes

Answer 23

.5 ml per vaccine

usually deltoid site

Question 24

IM needle gauge/length

Answer 24

22-25

.5-1.5 in

Question 25

HPV vaccine facts

Answer 25

prevent cancer
safe
work
long-lasting protection
safe for boys
some side effects
don't neg. affect fertility
Vaccines for Children program