NUR 4445 Preconception to Conception Chap 4-
6
1. What is the primary complaint with trichomoniasis? How do we diagnose and treat it?
Patient teaching?
- Primary complaint
many asymptomatic but frothy, yellow-green vaginal discharge with a strong odor and
accompanied genital itching and or burning.
- Diagnosis
motile organisms with flagella
- Treatment
metronidazole
- KEY teaching
sexually transmitted
2. What is the primary complaint with chlamydia? How do we diagnose and treat it? Patient
teaching?
- Primary complaint
most asymptomatic but yellow discharge from vagina or urethra; painful or frequent urination.
- Diagnosis
culture - urine sample
- Treatment
Azithromycin; Doxycycline; Erythromycin base; Erythromycin ethylsuc- cinate; levofloxacin;
oflaxcin. Partners must also be treated.
,- KEY teaching
most common STD reported by CDC, PID and infertility if left untreated
3. What is the primary complaint of Gonorrhea? How do we diagnose and treat it? Patient
teaching?
- Primary complaint
causes no symptoms or very mild symptoms - yellow vaginal discharge.
- Diagnosis
culture, similar to chlamydia
- Treatment
has become drug resistant; Azithromycin (2.5% resistant); Cefixime (0.8%); Ciprofloxacin
(19.2%); penicillin (16.2); tetracycline (25.3%)
- KEY teaching
women with gonorrhea may think they have a minor UTI or vaginal infection. if left untreated
can lead to PID or infertility
4. What is the primary complaint with Herpes Genitalia, HSV? How do we diagnose and treat
it ? Patient teaching?
- Primary complaint
small red sores that can last up to 2-3 weeks. Swollen lymph glands; muscle aches; headache;
fever; difficult urination. Occurs approximately 5 times a year but may or may not occur.
- Diagnosis
culture and presence of antibodies in serum.
- Treatment
anti-viral, both acute outbreak and for suppression.
- KEY teaching
, there are two types - type 1 and type 2. No cure.
5. What is the primary complaint for syphilis in the primary, secondary , and latent stages?
- Primary complaint
1. Primary stage
first appears as painless chancre. Goes away without treatment in 3 to 6 weeks.
2. Secondary stage
rash appears on soles of feet and palms, flat warts on vulva or flu-like symptoms.
3. Latent infection
some have a rash and symptoms go away in weeks or months but the infection is not gone.
6. How do we diagnose and treat syphilis? Patient teaching?
- Diagnosis
early and late stages. VDRL or RPR test (blood test)
- Treatment
penicillin
- KEY teaching
genital sores can make it easier to become infected with and transmit. Can be deadly.
7. What is the primary complaint with HPV? How do we diagnose and treat it? Patient
teaching?
- Primary complaint
6
1. What is the primary complaint with trichomoniasis? How do we diagnose and treat it?
Patient teaching?
- Primary complaint
many asymptomatic but frothy, yellow-green vaginal discharge with a strong odor and
accompanied genital itching and or burning.
- Diagnosis
motile organisms with flagella
- Treatment
metronidazole
- KEY teaching
sexually transmitted
2. What is the primary complaint with chlamydia? How do we diagnose and treat it? Patient
teaching?
- Primary complaint
most asymptomatic but yellow discharge from vagina or urethra; painful or frequent urination.
- Diagnosis
culture - urine sample
- Treatment
Azithromycin; Doxycycline; Erythromycin base; Erythromycin ethylsuc- cinate; levofloxacin;
oflaxcin. Partners must also be treated.
,- KEY teaching
most common STD reported by CDC, PID and infertility if left untreated
3. What is the primary complaint of Gonorrhea? How do we diagnose and treat it? Patient
teaching?
- Primary complaint
causes no symptoms or very mild symptoms - yellow vaginal discharge.
- Diagnosis
culture, similar to chlamydia
- Treatment
has become drug resistant; Azithromycin (2.5% resistant); Cefixime (0.8%); Ciprofloxacin
(19.2%); penicillin (16.2); tetracycline (25.3%)
- KEY teaching
women with gonorrhea may think they have a minor UTI or vaginal infection. if left untreated
can lead to PID or infertility
4. What is the primary complaint with Herpes Genitalia, HSV? How do we diagnose and treat
it ? Patient teaching?
- Primary complaint
small red sores that can last up to 2-3 weeks. Swollen lymph glands; muscle aches; headache;
fever; difficult urination. Occurs approximately 5 times a year but may or may not occur.
- Diagnosis
culture and presence of antibodies in serum.
- Treatment
anti-viral, both acute outbreak and for suppression.
- KEY teaching
, there are two types - type 1 and type 2. No cure.
5. What is the primary complaint for syphilis in the primary, secondary , and latent stages?
- Primary complaint
1. Primary stage
first appears as painless chancre. Goes away without treatment in 3 to 6 weeks.
2. Secondary stage
rash appears on soles of feet and palms, flat warts on vulva or flu-like symptoms.
3. Latent infection
some have a rash and symptoms go away in weeks or months but the infection is not gone.
6. How do we diagnose and treat syphilis? Patient teaching?
- Diagnosis
early and late stages. VDRL or RPR test (blood test)
- Treatment
penicillin
- KEY teaching
genital sores can make it easier to become infected with and transmit. Can be deadly.
7. What is the primary complaint with HPV? How do we diagnose and treat it? Patient
teaching?
- Primary complaint
