NRSG 3302 Maternity Final Review

Maternity Final Review Nursing Process • Assess – must assess 1st before performing an intervention! • Diagnose • Plan • Interventions • Evaluate • What is the most common reportable STD in the United States? Chlamydia • Do you have to have intercourse to get an STI? Nope • What is the most common STD (overall)?  HPV - vaccine 11-26, both males and females can get it • Are there any specific concerns we need to warn women about while taking Flagyl regarding consuming alcohol? Yes – the woman will get very sick if she drinks while taking Flagyl. N/V • Is there a pH difference between Candidiasis, Bacterial Vaginosis and Trichomoniasis? If so what is it for all three? Yes, BV and Trichomoniasis: pH > 4.5 - abnormal, Candidiasis (fungal infection) vaginal pH won’t change • Which of the following best describes the clinical signs/symptoms of chlamydial infection in woman? a. Most women are asymptomatic – a lot of STD’s esp. in the beginning which makes it easy to transmit to others b. Most women complain of a discharge c. Most women complain of pelvic pain d. Most women complain of urinary symptoms • Mucocutaneous lesions and rash are most commonly seen during which stage of syphilis? a. Latent b. Primary – painless sore, chancre, think its an engrone hair c. Secondary d. Tertiary • Which of the STIs have an available vaccine? Hep B, HPV, Hep A (not transmitted sexually) • Do condoms protect against all STIs? No • Is HIV testing required for all pregnant women? What if women does not want to be tested? • Not required. Woman must opt out. Educate on risk of transmission to fetus. • If you had a woman who was high risk for HIV infection “opt-out” of testing – what might you educate her on? Risk of transmission to her baby. • The risk of perinatal transmission of HIV can be reduced with antiretroviral treatment. Identification in the preconception period is essential. Which of the following statements about HIV screening in pregnancy is most accurate? Pregnant women: a. Are routinely screened for HIV with all prenatal lab testing b. Must be given the option to opt out of routine HIV testing c. Must provide written consent for HIV screening d. Should be offered HIV screening in each trimester