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Units 1,2, & 3
Sexuality, Reproduction - Intrapartum/Antepartum
| Question | Answer |
|---|---|
| A client is diagnosed as being in the primary stage of syphilis? What would the nurse expect as a finding? | Genital chancres. Primary syphilis is a chancre at the site of exposure. A rash on the palms is associated with secondary syphilis, whereas gummas and central nervous system (CNS) lesions are indicative of tertiary syphilis. |
| A 22-year-old patient has presented to her primary care provider for her scheduled Pap smear. Abnormal results of this diagnostic test may imply infection with: | human papillomavirus (HPV) Although a Pap smear does not test directly for HPV, dysplasia of cervical cells is strongly associated with HPV infection. An abnormal Pap smear is not indicative of chlamydial infection, trichomoniasis, or candidiasis |
| A client with primary syphilis is allergic to penicillin. The nurse would expect the physician to order which agent? | Doxycycline Clients who are allergic to penicillin are given a 14-day regimen of tetracycline or doxycycline. Acyclovir is used to treat genital herpes. Ceftriaxone may be used for gonorrhea. Podophyllum resin is used to treat genital warts. |
| After teaching a group of students about sexually transmitted infections (STIs), the instructor determines that additional teaching is necessary when the students identify which STI as curable with treatment? | Genital herpes Besides AIDS, the five most common STIs are chlamydia, gonorrhea, syphilis, genital herpes, and genital warts. Of these, chlamydia, gonorrhea, and syphilis are easily cured with early and adequate treatment. Genital herpes recurs. |
| Before advising a 24-year-old client desiring oral contraceptives for family planning, the nurse would assess the client for any signs and symptoms of which of the following? | Anemia Hypertension* Acne vulgaris Dysmenorrhea. |
| A client is being treated for gonorrhea. What agent would the nurse expect the physician to prescribe? | Ceftriaxone The current CDC (2019) recommendation for treating gonorrhea is a single intramuscular dose of a broad-spectrum cephalosporin such as ceftriaxone (Rocephin) or oral dosing with cefixime (Suprax) |
| The client taking an estrogen-progesterone combination oral contraceptive calls the clinic reporting that she has forgotten her pills for the last two days. what medication directions should the nurse provide? | "Take two pills today and two pills tomorrow, then one pill daily for the rest of the pack." |
| A student nurse is caring for a male patient diagnosed with gonorrhea. The patient is receiving ceftriaxone and doxycycline. The nursing instructor asks the student why the patient is receiving two antibiotics. What is the student nurse's best response? | "Many people infected with gonorrhea are infected with chlamydia as well." |
| The nurse determines teaching regarding the levonorgestrel-releasing intrauterine delivery system has been effective when the client makes which statement? | "I can keep this device in place for up to 5 years." Mirena is a levonorgestrel-releasing intrauterine device system used for contraception. It releases 20 mcg/day of levonorgestrel over a period of 5 years.at which time it needs to be removed |
| A 26-year-old woman is considering Depo-Provera as the form of contraception that is best for her since she doesn't want to worry about taking a pill daily. To assist with this decision making concern, the nurse would tell her that Depo-Provera: | Thickens and decreases cervical mucus, thereby inhibiting sperm penetration and ovulation. |
Created by:
egerace
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