Sexually Transmitted Infections (STIs)
A nurse educator is presenting to a prenatal class ways in which to prevent common yeast infections that may occur during pregnancy. Which statement made by participants indicates that the teaching has been effective? 1) "If I dry my underwear in a cool dryer, it kills the yeast on it." 2) "I need to reduce my dietary intake of simple sugars and soda." 3) "Daily baths rather than showers will soothe irritation in the genital area." 4) "Douching daily is recommended to keep the vaginal track clean."
2) "I need to reduce my dietary intake of simple sugars and soda." Genital/vulvovaginal candidiasis (yeast) infections nursing management includes the teaching of preventive measures to women with frequent vulvovaginal candidiasis infections, including: reducing dietary intake of simple sugars and soda; avoid douching (which washes away protective vaginal mucus); shower rather than taking tub baths; dry underwear in a hot dryer to kill the yeast that clings to the fabric.
A community health nurse is conducting an educational session at a local community center on sexually transmitted infections (STIs). The nurse considers the session successful when participants identify which statement as correct? 1) "At least antibiotics will cure a sexually transmitted infection." 2) "STIs can't be transmitted through oral sexual intercourse." 3) "Human papillomavirus is the cause of essentially all cases of cervical cancer." 4) "Gonorrhea and syphilis are an infection seen only in men."
3) "Human papillomavirus is the cause of essentially all cases of cervical cancer." Clinical studies have confirmed that HPV is the cause of essentially all cases of cervical cancer, which is the fourth most common cancer in women in the United States. Up to 95% of cervical squamous cell carcinomas and nearly all preinvasive cervical neoplasms are caused by the HPV. Antibiotics will only cure those STIs caused from a bacterial infections. A viral STI infection is a lifetime infection. Gonorrhea and syphilis affects both men and women. Sexually transmitted infections (STIs) are infections of the reproductive tract caused by microorganisms transmitted through oral sexual intercourse.
A nurse educator is teaching a client about sexually transmitted infections. The client would learn that which medications are appropriate to treat chlamydia? Select all that apply. 1) metronidazole 2) ceftriaxone 3) doxycyclin 4) acyclovir 5) azithromycin
3) doxycycline 5) azithromycin 2) ceftriaxone Antibiotics are usually used in treating this STI. The CDC treatment options for chlamydia include doxycycline or azithromycin. Because of the common co-infection of chlamydia and gonorrhea, a combination regimen of ceftriaxone with doxycycline or azithromycin is prescribed frequently.
A client has been admitted with primary syphilis. Which signs or symptoms should the nurse expect to see with this diagnosis? 1) patchy hair loss and red, broken skin involving the scalp, eyebrows, and beard areas 2) one or more flat, wartlike papules in the genital area that are sensitive to touch 3) copper-colored macules on the palms and soles that appeared after a brief fever 4) a painless genital ulcer that appeared about 3 weeks after unprotected sex
4) a painless genital ulcer that appeared about 3 weeks after unprotected sex A painless genital ulcer is a symptom of primary syphilis. Macules on the palms and soles after fever are indicative of secondary syphilis, as is patchy hair loss. Wartlike papules are indicative of genital warts.
What effects can syphilis have on the fetus or newborn?
Can be passed in utero -Can result in fetal or infant death -Congenital syphilis symptoms include skin ulcers, rashes, fever, weakened or hoarse cry, swollen liver and spleen, jaundice and anemia, various deformations
What effects can Herpes type II (genital herpes) have on the fetus or newborn?
Contamination can occur during birth. Newborn may develop skin or mouth sores -Mental retardation, premature birth, low birth weight, blindness, death
What effects can trichomoniasis have on the fetus or newborn?
Low birth weight, increased risk of PROM, and preterm birth
What effects can venereal warts have on the fetus or newborn?
May develop warts in throat (laryngeal papillomatosis); uncommon but life-threatening
What effects can chlamydia have on the fetus or newborn?
Newborn can be infected during delivery Eye infections (neonatal conjunctivitis), pneumonia, low birth weight, increased risk of premature rupture of the membranes (PROM), preterm birth, and stillbirth
What effects can gonorrhea have on the fetus or newborn?
Newborn can be infected during delivery. Increased risk of miscarriage, PROM, and preterm birth -Rhinitis, vaginitis, urethritis, inflammation of sites of fetal monitoring -Gonococcal ophthalmia neonatorum can lead to blindness and sepsis (including arthritis and meningitis)
