week 1 to week 3 Flashcards
What is pelvic inflammatory disease?
most serious complication of chlamydial infection
Pelvic inflammatory disease causes infection to
fallopian tubes, ovaries, and uterus
those with P.I.D are at risk for
ectopic pregnancy [fertilized egg implants outside the uterus], infertility, chronic pelvic pain
Those with P.I.D are at increase risk for
acquiring HIV
- Which contraceptive method best protects against STIs and the HIV?
Barrier methods- female and male condoms
A female client who has been sexually active for 5 years is found to have gonorrhea. The client is upset and asks the nurse, “What can I do to keep from getting another infection in the future?” Which statement by the client indicates that the teaching by the nurse was effective?
- “My partner has to use a condom all the time.”
Medication for gonorrhea
Antibiotic therapy: cefixime or ceftriaxone
gonorrhea can cause what type of harm to the fetus when born
blindness
what medication that treats chlamydia?
Azithromycin or amoxicillin if pregnant
What are the signs and symptoms of Hepatitis A
flulike symptoms with malaise fatigue, anorexia, nausea, pruritis, fever, and RUQ pain
What can be done for prevention of hepatitis A
HAV vaccination
Which Hepatitis virus is most threatening to the fetus
Hep B
Hep B is transmitted how?
parenterally, perinatally, rarely oral, intimate contact
Prevention for Hepatitis B consists of?
Vaccination series
Hep C is transmitted how?
Blood borne infection
Who is at risk for Hep C
Those who use IV injection drugs
Severe depression of the cellular immune system
associated with which disorder
HIV infection characterizes AIDS
Signs and symptoms of HIV
fever headache night sweats malaise generalized lymphadenopathy myalgias, nausea, D, weight loss, sore throat, and rash
How is HIV transmitted?
Primarily through exchange of bodily fluids
A male client asks the nurse why it is better to purchase condoms that are not lubricated with nonoxynol-9 (a common spermicide). Which response by the nurse is the most accurate?
Nonoxynol-9 does not provide protection against STIs as originally thought; it has also been linked to an increase in the transmission of the HIV and can cause genital lesions.
If consistently and correctly used, which of the barrier methods of contraception has the lowest failure rate?
Male condoms
An unmarried young woman describes her sex life as active and involving many partners. She wants a contraceptive method that is reliable and does not interfere with sex. She requests an intrauterine device (IUD). Which information is most important for the nurse to share?
The risk of pelvic inflammatory disease will be higher with the IUD.
Importantly, the nurse must be aware of which information related to the use of IUDs?
IUDs containing copper can provide an emergency contraception option if inserted within a few days of unprotected intercourse.
A young woman has been using oral contraceptives. When she misses her regular menstrual period, she visits the women’s health clinic and tells the nurse that she may be pregnant because she missed taking her contraceptive pills for 1 week when she had the flu. How should the nurse respond?
“You may be right. One of the reasons that an exact schedule is prescribed for birth control pills is that they have to be taken regularly to be effective
A woman who has just undergone a first-trimester abortion will be using oral contraceptives. To protect against pregnancy, the client should be advised to do what?
Use another method of contraception for 1 week after starting the pill.
A woman will be taking oral contraceptives using a 28-day pack. What advice should the nurse provide to protect this client from an unintended pregnancy?
Take one pill at the same time every day.
Which relevant drug history is appropriate for the client who had a dark complexion with brownish pigmentation over the cheeks, nose, and forehead during pregnancy, which faded and has recurred?
Contraceptives
Which client would be an ideal candidate for injectable progestins such as Depo-Provera (DMPA) as a contraceptive choice?
The ideal candidate has difficulty remembering to take oral contraceptives daily.
A client currently uses a diaphragm and spermicide for contraception. She asks the nurse to explain the major differences between the cervical cap and the diaphragm. What is the most appropriate response by the nurse?
The cervical cap can be safely used for repeated acts of intercourse without adding more spermicide later.
Which nonpharmacologic contraceptive method has a failure rate of less than 25%?
Standard days variation control
Which statement made by the client correlates with a probable pregnancy?
“I can feel my uterus contract, but it does not hurt.”
