Chapter 07- Sexually Transmitted and Other Infections Lowdermilk- Maternity & Women's Health Care, 12th Edition (Latest Update Solution A+)

Document Content and Description Below

Chapter 07- Sexually Transmitted and Other Infections Lowdermilk- Maternity & Women's Health Care, 12th Edition (Latest Update Solution A+) 1. Which manifestation differentiates primary syphili... s from secondary syphilis? a. Fever, headache, and malaise b. Widespread rash c. Identified by serologic testing d. Appearance of a chancre 2 months after infection - ANS: D Primary syphilis is characterized by a primary lesion (the chancre), which appears 5 to 90 days after infection. The chancre begins as a painless papule at the site of inoculation and erodes to form a nontender, shallow, and clean ulcer several millimeters to centimeters in size. Secondary syphilis occurs 6 weeks to 6 months after the appearance of the chancre and is characterized by a widespread maculopapular rash. The individual may also experience fever, headache, and malaise. Latent syphilis are those infections that lack clinical manifestations; however, they are detected by serologic testing. 2. Which statement made by a nurse regarding the prophylactic vaccination to prevent human papillomavirus (HPV) demonstrates a need for further education? a. "Currently there is only one vaccine for the HPV available." b. "The vaccine is given in three doses over a 6-month period." c. "The vaccine is recommended for both boys and girls." d. "Ideally, the vaccine is administered before the first sexual contact." - ANS: A Three vaccines for HPV are available—Cervarix, Gardasil and Gardasil 9—and other vaccines continue to be investigated. They are most effective if administered before the first sexual contact. Recommendations are that vaccines be administered to 11- and 12-year-old girls and boys. The vaccine can be given to girls as young as 9 years of age and young women ages 13 to 26 years in three doses over a 6-month period. 3. Which sexually transmitted infection (STI) is the most commonly reported in American women? a. Gonorrhea b. Syphilis c. Chlamydia d. Candidiasis - ANS: C Chlamydia is the most common STI in women in the United States and one of the most common causes of pelvic inflammatory disease (PID). Gonorrhea is probably the oldest communicable disease in the United States and second to Chlamydia in reported conditions. Syphilis has reemerged as a common STI, affecting black women more than any other ethnic or racial group. Candidiasis is a relatively common fungal infection. 4. The Centers for Disease Control and Prevention (CDC) recommends which therapy for the treatment of the HPV? a. Miconazole ointment b. Topical podofilox 0.5% solution or gel c. Two doses of penicillin administered intramuscularly (IM) d. Metronidazole by mouth - ANS: B Available treatments are imiquimod, podophyllin, and podofilox. Miconazole ointment is used to treat athlete's foot. Penicillin IM is used to treat syphilis. Metronidazole is used to treat bacterial vaginosis 5. Which condition is the most life-threatening virus to the fetus and neonate? CONTINUES... [Show More]

Last updated: 1 year ago

Preview 1 out of 6 pages