Exam 7: Sexually Transmitted and Other Infections

Group B Streptococcus (GBS)is part of the normal vaginal flora in 20% to 30% of healthy pregnant women.GBS has been associated with poor pregnancy outcomes and is an important factor in neonatal morbidity and mortality.Which finding is not a risk factor for neonatal GBS infection?

Which statements regarding the HPV are accurate? (Select all that apply). HPV infections:

The nurse should be familiar with the use of the five Ps as a tool for evaluating risk behaviors for STIs and the HIV.Which components would the nurse include in her use of the five Ps as an assessment tool? (Select all that apply).

A group of infections known collaboratively as TORCH infections are capable of crossing the placenta and causing serious prenatal effects on the fetus.Which infections are included in this group of organisms? (Select all that apply).

Counseling and education are critical components of the nursing care of women with herpes infections.Clients should be taught to identify triggers that might result in a herpes attack.Which factors are possible triggers for a recurrence? (Select all that apply).

A 25-year-old single woman comes to the gynecologist's office for a follow-up visit related to her abnormal Papanicolaou (Pap)smear.The test revealed that the client has the HPV.The woman asks,"What is that? Can you get rid of it?" Which is the best response for the nurse to provide?

Which laboratory testing is used to detect the human immunodeficiency virus (HIV)?

Syphilis is a complex disease that can lead to serious systemic illness and even death if left untreated.Which manifestation differentiates primary syphilis from secondary syphilis?

The human papillomavirus (HPV),also known as genital warts,affects 79 million Americans,with an estimated number of 14 million new infections each year.The highest rate of infection occurs in young women,ages 20 to 24 years.Prophylactic vaccination to prevent the HPV is now available.Which statement regarding this vaccine is inaccurate?

Clients treated for syphilis with penicillin may experience a Jarisch-Herxheimer reaction.Which clinical presentation would be unlikely if a client is experiencing this reaction?

The nurse providing care in a women's health care setting must be knowledgeable about STIs.Which STIs can be successfully treated?

A 23-year-old primiparous client with inconsistent prenatal care is admitted to the hospital's maternity unit in labor.The client states that she has tested positive for the HIV.She has not undergone any treatment during her pregnancy.The nurse understands that the risk of perinatal transmission can be significantly decreased by a number of prophylactic interventions.Which interventions should be included in the plan of care? (Select all that apply).

The Centers for Disease Control and Prevention (CDC)recommends which therapy for the treatment of the HPV?

An essential component of counseling women regarding safe sex practices includes a discussion regarding avoiding the exchange of body fluids.The most effective physical barrier promoted for the prevention of STIs and HIV is the condom.To educate the client about the use of condoms,which information related to condom use is the most important?

Five different viruses (A,B,C,D,and E)account for almost all cases of hepatitis infections.Which statement regarding the various forms of hepatitis is most accurate?

Which sexually transmitted infection (STI)is the most commonly reported in American women?

The nurse should understand the process by which the HIV infection occurs.Once the virus has entered the body,what is the time frame for seroconversion to HIV positivity?

Which STI does not respond well to antibiotic therapy?

What is the drug of choice for the treatment of gonorrhea?

A client exhibits a thick,white,lumpy,cottage cheese-like discharge,along with white patches on her labia and in her vagina.She complains of intense pruritus.Which medication should the nurse practitioner order to treat this condition?