Ch 5 Reproductive Tract Infections (Ricci, Kyle & Carman: Maternity and Pediatric Nursing, Third Edition)

70%

A nurse is reading a journal article about chlamydia. The nurse would expect to find that what percentage of women are asymptomatic when infected with chlamydia? a. 70% b. 30% c. 90% d. 50%

metronidazole

A young woman presents with vaginal itching and irritation of recent onset. Her labia are swollen, and she has a frothy yellowish discharge with an unpleasant smell and a pH of 6.8. She has been celibate during the last six months and has been taking antibiotics for a throat infection. Which medication is most likely to clear her symptoms? a. azithromycin b. metronidazole c. valacyclovir d. penicillin

condylomata acuminata

During unprotected sex, a 17-year-old female high school senior has been exposed to the human papillomavirus (HPV). The school nurse would recognize that the student is at a considerable risk of developing which diagnosis? a. condylomata acuminata b. candidiasis c. genital herpes d. gonorrhea

Limit stress and emotional upset as much as possible.

Which instruction should be given to a woman newly diagnosed with genital herpes? a. Use a water-soluble lubricant for relief of pruritus. b. Limit stress and emotional upset as much as possible. c. Obtain a Papanicolaou test every 3 years. d. Have your partner use a condom when lesions are present.

"The virus remains quiet until a stressful event occurs to reactivate it." "Infections may be transmitted by individuals unaware that they have it." "Transmission is through contact of infected mucous membranes."

A pregnant woman recently diagnosed with the genital herpes virus asks the nurse for more information on the virus. Which responses by the nurse would be appropriate? Select all that apply. a. "Many recognize they have the infection and seek treatment immediately." b. "Transmission is through contact of infected mucous membranes." c. "The virus remains quiet until a stressful event occurs to reactivate it." d. "Infections may be transmitted by individuals unaware that they have it." e. "Your baby is protected from this infection by the placenta."

human papillomavirus (HPV)

What is the most common viral infection? a. gonorrhea b. trichomoniasis c. chlamydia d. human papillomavirus (HPV)

dysuria

Which finding would the nurse most likely find in a male diagnosed with a chlamydia trachomatis infection? a. hematuria b. erectile c. dysfunction d. painful ejaculation e. dysuria

"It is recommended to formula-feed your newborn as it is transmitted through your breast milk."

A client at 34 weeks' gestation has recently been diagnosed with human immunodeficiency virus (HIV). The client asks how HIV would be transmitted to the newborn. Which statement would be the nurse's best response? a. "It is not transmitted to your newborn as it is protected in the uterus." b. "It is only transmitted through the birth canal so a cesarean birth will be scheduled." c. "The risk of your newborn being infected with HIV infection is about 1%." d. "It is recommended to formula-feed your newborn as it is transmitted through your breast milk."

Discuss the necessity of completing the antibiotic therapy.

A client is being discharged from the gynecological unit after treatment for an acute pelvic inflammatory disease (PID). What priority instruction regarding disease management should the nurse include? a. Provide the client with brochures on sexually transmitted disease prevention. b. Arrange for follow-up visits to her health care provider. c. Refer the client to the women's sexual health clinic. d. Discuss the necessity of completing the antibiotic therapy.

d. Avoid using deodorant tampons. a. Avoid the use of colored toilet tissue. c. Wear only cotton panties and ventilated pantyhose.

A nurse is caring for a client with vaginitis. What instructions should the nurse provide to the client to prevent recurrent vaginal infections? Select all that apply a. Avoid the use of colored toilet tissue. b. Take a bubble bath once a week. c. Wear only cotton panties and ventilated pantyhose. d. Avoid using deodorant tampons. e. Clean the perineal area from back to front.

candidiasis

A nurse is presenting a program for a local women's group about STIs. When describing the information, the nurse would identify which infection as the most common cause of vaginal discharge? a. gonorrhea b. candidiasis c. chlamydia d. syphilis

chancres at the vaginal site

A woman seen in the emergency department is diagnosed with primary syphilis. What finding is most likely? a. foul-smelling discharge b. vesicles on the labia c. vaginal bleeding d. chancres at the vaginal site