Chapter 07: Sexually Transmitted and
Other Infections Lowdermilk: Maternity
& Women's Health Care, 12th Edition
Exam Questions With Complete
Solutions Rated A+
1. 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 - ANSWER-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." - ANSWER-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 - ANSWER-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 - ANSWER-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?
a. Hepatitis A virus (HAV)
b. Herpes simplex virus (HSV)
Other Infections Lowdermilk: Maternity
& Women's Health Care, 12th Edition
Exam Questions With Complete
Solutions Rated A+
1. 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 - ANSWER-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." - ANSWER-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 - ANSWER-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 - ANSWER-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?
a. Hepatitis A virus (HAV)
b. Herpes simplex virus (HSV)
