Symptoms & Risk Factors
A patient reports vaginal itching and thick, white discharge. Which assessment finding supports a diagnosis of candidiasis?
A. Thin, gray discharge with a fishy odor
B. Thick, white "cottage cheese" discharge
C. Green-yellow discharge with pelvic pain
D. Clear discharge with cervical friability
B. Thick, white "cottage cheese" discharge
Erythromycin Eye Ointment is commonly applied to neonates shortly after birth to protect from these two STIs.
What is Chlamydia and Gonorrhea?
Which of the following is a common complication of untreated Chlamydia, Gonorrhea, Trichomoniasis, and Bacterial Vaginosis that can cause infertility?
A. Pelvic Inflammatory Disease
B. Vulvar pain
C. Cervical friability
D. Cervical cancer
A. Pelvic Inflammatory Disease (PID)
This STI is the most common in American women.
This STI is characterized by painful, fluid-filled vesicular lesions that often recur in the same location, this lifelong viral infection can be confirmed by viral culture or PCR testing.
What is Herpes Simplex Virus (HSV)?
A nurse is caring for a pregnant client who tests positive for syphilis but is allergic to penicillin. Which of the following medications should the nurse anticipate administering?
A. Azithromycin
B. Doxycycline
C. Acyclovir
D. Metronidazole
What is Doxycycline?
Which of the following can cause postpartum sepsis if left untreated during pregnancy?
A. HSV
B. Toxoplasmosis
C. Gonorrhea
D. Yeast Infection
What is Gonorrhea?
This STI can cause cervical cancer, even without symptoms.
HPV
A nurse is educating a client about the stages of syphilis. Which of the following findings should the nurse include as a characteristic of the secondary stage?
A. Painless papular lesion at the site of infection
B. Edema indicating internal lesions
C. Skin rashes on the palms and soles of the feet
D. Damage to internal organs leading to coordination issues
C. Skin rashes on the palms and soles of the feet
Which medication is commonly prescribed for BV?
A. Fluconazole
B. Clindamycin
C. Valacyclovir
D. Doxycycline
B. Clindamycin
Which of these STIs involve lesions that can extend into the birth canal and interfere with fetal descent?
A. Group B Streptococcus
B. HIV/AIDS
C. Trichomoniasis
D. HPV
D. HPV
Diagnostics for this STI includes obtaining a viral culture from the fluid present in lesions during an active outbreak.
What is HSV?
A nurse is assessing a client for HPV. Which of the following findings should the nurse expect?
A. Firm, red ulcers
B. Soft, flesh-colored swellings in the genital area
C. Severe pelvic pain
D. Greenish vaginal discharge
B. Soft, flesh-colored swellings in the genital area
Which STI would IV Zidovudine 3 hours prior to scheduled C/S until birth be anticipated for?
HIV
This viral infection in pregnancy can cause preterm labor, intrauterine growth restriction (IUGR), miscarriage, and neonatal transmission during vaginal delivery.
Herpes Simplex Virus (HSV)
There is no cure for this viral infection and breastfeeding can cause the infection to be spread to the neonate if antiretroviral therapy is not initiated. Procedures that may cause mixing of maternal and fetal blood, such as amniocentesis and episiotomies, should be avoided with this STI.
_______ _________ is a common urinary symptom of Trichomoniasis in males and females.
What is Painful Urination?
These two antiviral medications are commonly prescribed to manage outbreaks of HSV.
Acyclovir and Valacyclovir
A nurse is discussing potential complications of untreated syphilis with a client. Which of the following should be included in the teaching? *Select all that apply*
A. Stillbirth or congenital abnormalities
B. Infection of the eyes, leading to blindness
C. Neurological symptoms, such as dementia
D. Cervical dysplasia
E. Paralysis
A, B, C, E
A female client presents in the clinic stating that she has noticed a new formation of "large lumps" at the front of her groin. She denies any pain, but admits to recent unprotected sexual activity with multiple partners. What is the likely diagnosis?
Syphilis, 1st stage