Deck 7: Sexually Transmitted and Other Infections

Question 1

The two primary areas of risk for sexually transmitted infections (STIs)are:

A)Sexual orientation and socioeconomic status
B)Age and educational level
C)Large number of sexual partners and race
D)Risky sexual behaviors and inadequate preventive health behaviors

Answer 1

Risky sexual behaviors and inadequate preventive health behaviors

Question 2

A woman has a thick,white,lumpy,cottage cheese-like discharge,with patches on her labia and in her vagina.She complains of intense pruritus.The nurse practitioner orders which preparation for treatment?

A)Fluconazole
B)Tetracycline
C)Clindamycin
D)Acyclovir

Answer 2

Fluconazole

Question 3

Examples of sexual risk behaviors associated with exposure to a sexually transmitted infection (STI)include (choose all that apply):

A)Fellatio
B)Unprotected anal intercourse
C)Multiple sex partners
D)Dry kissing
E)Abstinence

Answer 3

Fellatio
Unprotected anal intercourse
Multiple sex partners

Question 4

To detect the human immunodeficiency virus (HIV),most laboratory tests focus on:

A)HIV virus
B)HIV antibodies
C)CD4 counts
D)CD8 counts

Question 5

Which virus is most threatening to the fetus and neonate?

A)Hepatitis A virus
B)Herpes simplex virus (HSV)
C)Hepatitis B virus (HBV)
D)Cytomegalovirus (CMV)

Question 6

Care management of a woman diagnosed with acute pelvic inflammatory disease (PID)most likely includes:

A)Oral antiviral therapy
B)Bed rest in a semi-Fowler position
C)Antibiotic regimen continued until symptoms subside
D)Frequent pelvic examination to monitor the progress of healing

Question 7

A saline wet smear (vaginal secretions mixed with normal saline on a glass slide)is the test for:

A)Bacterial vaginosis
B)Candidiasis
C)Yeast infection
D)Trichomoniasis

Question 8

The Centers for Disease Control and Prevention (CDC)recommends that human papillomavirus (HPV)be treated with client-applied:

A)Miconazole ointment
B)Topical podofilox 0.5% solution or gel
C)Penicillin given intramuscularly for two doses
D)Metronidazole by mouth

Question 9

The most common perinatal complications associated with bacterial sexually transmitted infections (STIs)are:

A)Preterm labor and preterm birth
B)Newborn eye infections and low Apgar scores
C)Nausea,vomiting,and frequent urinary tract infections
D)Congenital anomalies and infertility

Question 10

Which statement about the various forms of hepatitis is accurate?

A)A vaccine exists for hepatitis C but not for hepatitis B.
B)Hepatitis A is acquired by eating contaminated food or drinking polluted water.
C)Hepatitis B is less contagious than human immunodeficiency virus (HIV).
D)The incidence of hepatitis C is decreasing.

Question 11

Which statements are true? Choose all that apply.

A)Human papillomavirus (HPV)infections are thought to be less common in pregnant women than in women who are not pregnant.
B)HPV infections are thought to be more common in pregnant women than in women who are not pregnant.
C)HPV infection previously was called genital warts.
D)HPV infection previously was called herpes.
E)HPV may cause cancer.

Question 12

TORCH stands for:
T __________________

Question 13

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

A)"It's just a little lump on your cervix.We can just freeze it off."
B)"HPV stands for 'human papillomavirus.' It is a sexually transmitted infection that may lead to cervical cancer."
C)"HPV is a type of early human immunodeficiency virus.You will die from this."
D)"You probably caught this from your current boyfriend.He should get tested for this."

Question 14

Which sexually transmitted infection is not bacterial and thus not treatable with antibiotics?

A)Chlamydia
B)Gonorrhea
C)Genital herpes
D)Syphilis

Question 15

TORCH stands for:
O _______________________

Question 16

On vaginal examination of a 30-year-old woman,the nurse documents the following findings: profuse,thin,grayish-white vaginal discharge with a "fishy" odor;complains of pruritus.Based on these findings,the nurse suspects that this woman has:

A)Bacterial vaginosis
B)Candidiasis
C)Trichomoniasis
D)Gonorrhea

Question 17

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 human immunodeficiency virus (HIV)but has not undergone any treatment during her pregnancy.As her primary nurse you understand that the risk of perinatal transmission can be significantly decreased by a number of prophylactic interventions.Select the appropriate interventions that should be included in this client's plan of care:

A)Intrapartum treatment with antiviral medications
B)Cesarean birth
C)Postpartum treatment with antiviral medications
D)Avoidance of breastfeeding
E)Pneumococcal,hepatitis B,and Haemophilus influenzae vaccine

Question 18

Which viral sexually transmitted infection is characterized by a primary infection followed by recurrent episodes?

A)Herpes simplex virus 2 (HSV-2)
B)Human papillomavirus (HPV)
C)Human immunodeficiency virus (HIV)
D)Cytomegalovirus (CMV)

Question 19

When evaluating a client for sexually transmitted infections (STIs),the nurse should be aware that the most common bacterial STI is:

A)Gonorrhea
B)Syphilis
C)Chlamydia
D)Candidiasis

Question 20

The nurse should know that once the human immunodeficiency virus (HIV)enters the body,seroconversion to HIV positivity usually occurs within:

A)6 to 10 days
B)2 to 4 weeks
C)6 to 12 weeks
D)6 months

Question 21

TORCH stands for:
C __________________

Question 22

Rates of syphilis in the United States among women,especially African-Americans,have continued to rise since 2004.Is this statement true or false?

Question 23

TORCH stands for:
H ___________________________

Question 24

The Jarisch-Herxheimer reaction is an acute febrile reaction associated with treatment for __________________.

Question 25

TORCH stands for:
R __________________