Deck 7: Sexually Transmitted and Other Infections

Question 1

Which infection control practice should the nurse use when providing eye prophylaxis to a term newborn possibly infected with human immunodeficiency virus (HIV)?

A) Wearing gloves.
B) Wearing mouth,nose,and eye protection.
C) Wearing a mask.
D) Washing the hands after medication administration.

Answer 1

Wearing gloves.

Question 2

Once the Human immunodeficiency virus (HIV)has entered the body,what is the time frame for seroconversion to HIV positivity?

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

Answer 2

6 to 12 weeks

Question 3

Which treatment regime would be most appropriate for a client who has been recently diagnosed with acute pelvic inflammatory disease (PID)?

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 healing progress

Answer 3

Bed rest in a semi-Fowler position

Question 4

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 Group B Streptococcus (GBS)infection?

A) Positive prenatal Group B Streptococcus culture
B) Preterm birth at 37 weeks or less of gestation
C) Intrapartum maternal temperature of 38 $\degree$ C (100.4°F)or higher
D) Premature rupture of membranes (PROM)lasting 12 hours

Question 5

The nurse understands that the risk of perinatal transmission of human immunodeficiency virus (HIV)can be significantly decreased by a number of prophylactic interventions.Which interventions should be included in the plan of care of a pregnant client with a viral load of more than 1000 copies/ml.? (Select all that apply. )

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

Question 6

Which statement regarding the various forms of hepatitis is accurate?

A) Vaccine exists for hepatitis C virus (HCV)but not for hepatitis B (HBV).
B) Hepatitis A (HAV)is acquired by eating contaminated food or drinking polluted water.
C) Hepatitis B (HBV)is less contagious than HIV.
D) Incidences of hepatitis C (HCV)is decreasing.

Question 7

Which sexual behaviors are associated with high exposure to a sexually transmitted infection (STI)? (Select all that apply. )

A) Monogamy
B) Unprotected anal intercourse
C) Multiple sex partners
D) Dry kissing
E) Self-masturbation

Question 8

Which manifestation differentiates primary syphilis 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

Question 9

A 21-year-old client exhibits a greenish,copious,and malodorous discharge with vulvar irritation.A speculum examination and wet smear are performed to help confirm the diagnosis.Which condition is this client most likely experiencing?

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

Question 10

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 11

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

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

Question 12

Which sexual transmitted infection (STI)does not respond well to antibiotic therapy?

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

Question 13

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."

Question 14

Which clinical presentation should the nurse assess for if a pregnant client is experiencing a Jarisch-Herxheimer reaction? (Select all that apply)

A) Vomiting and diarrhea
B) Headache
C) Preterm labor contractions
D) CHOICE BLANK
E) Bright red vaginal bleeding
Arthralgia

Question 15

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

A) Penicillin G
B) Tetracycline
C) Ceftriaxone
D) Acyclovir

Question 16

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

A) HPV is thought to be less common in pregnant women than in women who are not pregnant.
B) HPV is thought to be more common in pregnant than in non-pregnant women.
C) HVP was previously referred to as genital warts.
D) HVP was previously referred to as herpes.
E) HVP is thought to sometimes cause cervical cancer.

Question 17

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

Question 18

Which sexually transmitted infection (STI)can be successfully treated?

A) Herpes simplex virus
B) Acquired immunodeficiency syndrome (AIDS)
C) Venereal warts
D) Chlamydia

Question 19

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 and reports of pruritus.Based upon these findings,which condition would the nurse suspect?

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

Question 20

Which condition is the most life-threatening virus to the fetus and neonate?

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

Question 21

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) Menstruation
B) Trauma
C) Febrile illness
D) Soap
E) Ultraviolet light

Question 22

Which infections,collaboratively referred to as TORCH infections,are capable of crossing the placenta and causing serious prenatal effects on the fetus? (Select all that apply. )

A) Toxoplasmosis
B) Cytomegalovirus (CMV)
C) Rubella
D) Clostridium
E) Herpes simplex 1 (HSV-1)