Chapter 07: Sexually Transmitted and Other Infections
Lowdermilk: Mater
nity & Women's Health Care, 12th Edition Exam.
1. 1. Which manifestation differ- ANS: D
entiates primary syphilis from Primary syphilis is characterized by a primary lesion
(the chan-
secondary syphilis? cre), which appears 5 to 90 days after infection. The
a. Fever, headache, chancre begins as a painless papule at the site of
and malaise inoculation and erodes to form a nontender, shallow, and
b. Widespread rash clean ulcer several millimeters to centimeters in size.
c. Identified by serologic Secondary syphilis occurs 6 weeks to 6 months after the
test- ing appearance of the chancre and is characterized by a
d. Appearance of a widespread maculopapular rash. The individual may
chancre 2 months after also experience fever, headache, and malaise. Latent
infection syphilis are those infections that lack clinical
manifestations; however, they are detected by serologic
testing.
2. 2. Which statement made
by ANS: A
a nurse regarding the prophy- Three vaccines for HPV are available—Cervarix,
Gardasil and
lactic vaccination to boys and girls." d. "Ideally, the
prevent human vaccine is admin- istered before
papillomavirus (HPV) the first sexual contact."
demonstrates a need for
fur- ther education? 3.
a. "Currently there is
only one vaccine for the
HPV avail- able."
b. "The vaccine is given
in three doses over a 6-
month period."
c."The vaccine is
recommend- ed for both
,E
Chapter 07: Sexually Transmitted and Other Infections
Lowdermilk: Mater
nity & Women's Health Care, 12th Edition Exam.
Gardasil 9—and other vaccines continue to
be investigated. They are most ettective 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.
, E
Chapter 07: Sexually Transmitted and Other Infections
Lowdermilk: Mater
nity & Women's Health Care, 12th Edition Exam.
3. Which sexually ANS: C
transmit- ted infection Chlamydia is the most common STI in women in the
(STI) is the most United States and one of the most common causes of
commonly reported in pelvic inflamma- tory disease (PID). Gonorrhea is
Ameri- can women? probably the oldest commu- nicable disease in the
a. Gonorrhea United States and second to Chlamydia in reported
b. Syphilis conditions. Syphilis has reemerged as a common STI,
c. Chlamydia attecting black women more than any other ethnic or
d. Candidiasis racial group. Candidiasis is a relatively common fungal
infection.
4. 4. The Centers for
Disease Control and ANS: B
Prevention (CDC) Available treatments are imiquimod, podophyllin, and
recommends which pod- ofilox. Miconazole ointment is used to treat athlete's
therapy for the treatment foot. Peni- cillin IM is used to treat syphilis. Metronidazole
of the HPV? is used to treat bacterial vaginosis
a. Miconazole ointment
b. Topical podofilox 0.5%
solu- tion or gel
c. Two doses of penicillin
administered
intramuscularly (IM)
d. Metronidazole by mouth
5. 5. Which condition is the most ANS: C
life-threatening virus to the fe- HBV is the most life-threatening viral condition to
the fetus and
tus and neonate? c. Hepatitis B virus (HBV)
a. Hepatitis A virus (HAV) d. Cytomegalovirus (CMV)
b. Herpes simplex virus
(HSV) 6. 6. Which treatment regime
would be most appropriate