STIs

Question 1

Chlamydria

Answer 1

-Asymptomatic; infertility; pelvic inflammatory disease; scarred tissue; death

Question 2

Syphilis

Answer 2

-Neurosyphilis; fatal

Question 3

Herpes

Answer 3

-death to neonates; widespread in body; stigma/mental health issues; impact on future sexual relationships

Question 4

HPV

Answer 4

-cervical cancer; genital warts/disfigurement

Question 5

Gonorrhea

Answer 5

-Antibiotics; must also treat the partner; now there is antibiotic resistant gonorrhea

Question 6

Annual new infections

Answer 6

20 million

Question 7

Total infections

Answer 7

110 million

Question 8

Total cost

Answer 8

16 billion dollar

Question 9

Impact on women

Answer 9

• Reproductive health concerns
• adverse pregnancy outcomes
• cancer related consequences
• Increased risk of HIV

Question 10

Undiagnosed

Answer 10

Can cause 24000 women to become infertile each year

Question 11

Sexually history questions

Answer 11

• are you currently sexually active?
• are you currently sexually active with more than one partner
• What kind of protection do you and your partner use during sexual activity?
• How has illness or medication use affected your sexual activity?
• Do you have questions or concerns about your sexual activity?
• Have you ever had a sexually transmitted disease (STI)? Been exposed to someone with an STI?
• Have you ever had, or do you currently have, discharge, rashes, or sores in the genital area
• Is there anything you would like to discuss concerning sexual issues?
• Do you have any difficulty reaching orgasm?

Question 12

Lubricants for breastfeeding women

Answer 12

-Their vagina will be dry, tell them to get silicon or water based lubricants

Question 13

Patient recommendations

Answer 13

• know your partner
• limit the number of sexual partners
• avoid exchanging body fluids
• Use condoms and spermicidal ointment or foam during sexual activity
• Practice good hygiene; wash your genitals before and after sexual activity
• see your primary care provider yearly for medical checkups

Question 14

Caring for individuals with an STI

Answer 14

-assessment; management; education to prevent relapse

Question 15

Cervicitis

Answer 15

• Chlamydia infection

- Gonorrhea (all ointments given to babies to prevent blindness)

Question 16

Thrush

Answer 16

• Can be picked up through vagina (yeast)
• Makes it tender; then breastfeeding is harder for baby
• Can cause topical yeast infection on nipple

Question 17

Pelvic inflammatory disease

Answer 17

• If become pregnant, there will be an embryo in the fallopian tube which can explode
• Ectopic preg and appendicitis can present as the same thing

Question 18

Ectopic Pregnancy

Answer 18

• Usually presentation and tenderness in abdomen
• signs of shock: rising, rapid pulse, falling BP
• positive ultrasound
• Usually a history of missed period
• May have had a positive preg test
• is life threatening: 911

Question 19

Ulcerative genital infections

Answer 19

• syphilis and genital herpes simplex complex
• herpes can be active without having an outbreak; is a virus, pregnancy: must test via a vaginal and cervical swab at 36 weeks
• in absence of confirmed positive test: treatment plan is USUALLY a cesarean birth

Question 20

Diseases characterized by vaginal discharge

Answer 20

-trichomoniasis; bacterial vaginosis; vulvovaginal candidiasis

Question 21

Risk factors for Hep B

Answer 21

• Have unprotected sex with multiple sex partners or with someone who’s infected with HBV
• share needles during intravenous drug use
• Are a man who has sex with other men

Question 22

STIs during pregnancy

Answer 22

-TORCH