NUR 220 - Exam #9
(STIs) questions
and answers
Having 1 STI Increases Risk of
Getting Another; Can Have More than 1 STI at a time
STIs can be Caused by
Bacteria, Viruses, or Parasites
STIs are Spread through
Sexual Contact w/ the Penis, Vagina, Anus, Mouth, or Sexual Fluids of an Infected
Person; Skin-to-Skin (HPV), Via Blood or Blood Products (HIV or Mother-to-Baby),
Autoinoculation (touch of infection)
Bacterial Infections
Chlamydia, Gonorrhea, Syphilis
Parasitic/Protozoan Infections
Trichomoniasis
Viruses
Genital Herpes, Genital Warts, HIV, AIDS, Hepatitis B and C
Incubation Period
Time from Initial Infection to Time Symptoms First Appear or Screening Tests are
Positive; Transmission can occur while Asymptomatic
Nursing Roles of STIs
Education, Counseling, Referral
High Risk Factors for STIs
Alcohol or Drug Use, New or Hx of Multiple Sexual Partners, Sexual Partners w/
Multiple Partners, Inconsistent or Incorrect Use of Condoms or Other Barrier Methods
High Risk Populations for STIs
Adolescents w/ Early Onset of Sexual Intercourse, Some Ethnic Groups, Men who have
Sex w/ Men (MSM), Incarcerated Individuals, Transgender Women, Victims of Sexual
Assault, Persons of Low Socioeconomic Status
Human Papillomavirus (HPV) is a Precursor to
Cervical Cancer
HPV is Transmitted through
Genital and Oral Sex; Congenitally from Mother to Fetus; Becomes Systemic by
Entering Blood and Lymphatic System
Clinical Manifestations of HPV
Asymptomatic - Routine Screenings for Females 21-25yo (Pap); Genital Warts -
Caused by Noncancerous Strains of HPV (condylomata acuminate)
, HPV Diagnosis
PAP Test, HPV DNA Testing for Detection of Oncogenic HPV if Over 30 years old,
Colposcopy if Abnormal PAP or High Risk
HPV Treatment
Loop Electrosurgical Excision Procedure, Ablation, Excision, Laser Conization
HPV Teaching
Prevention, Manifestations, Treatment, Healthy Practices, Gardasil Vaccine, Report Hx
of Infection to Partners, Appropriate Application of Meds - Gels, Creams, Ointments for
Genital Warts; Do NOT use if Pregnant; Call Provider if Worsening Pain or Vaginal
Discharge
Gardasil Vaccine
for HPV; Given in 2-3 IM Doses over 6 Month Period; As Early as Age 11 up to Age 26
Syphilis Prevalently Affects
MSM, Black MSM Ages 25-29 years old
Syphilis is Transmitted through
Genital and Oral Sex; Congenitally from Mother to Fetus; Becomes Systemic by
Entering Blood and Lymphatic System; Bacteria - Spirochete Treponema Pallidum
Syphilis Primary Stage
Painless, Hard Lesion Develops (chancre)
Syphilis Secondary Stage
Maculopapular Rash Develops on Palms of Hands and Soles of Feet
Syphilis Latent Stage
No S/S
Syphilis Tertiary Stage
Gummas Cause Damage to Internal Organs, Profound Damage to the Cardiac System
or CNS may Result in Valvular Problems, Seizures, Mobility Issues, and Paralysis;
Neurosyphilis can be Present at Any Stage
Syphilis Diagnosis
Nontreponemal Tests - look for Indirect Markers of Infection; Treponemal Tests - look
for Direct Markers of Infection; Darkfield Microscopic Test
Syphilis Medications
Penicillin G IM in Single Dose; Doxycycline or Tetracycline Orally if Allergic to Penicillin
(do NOT Administer if Pregnant)
Syphilis Assessments
Vital Signs, Presence of Cancer, Skin, Neurological Status, Serology Tests
Syphilis Teaching
Importance of Seeking Treatment, Prevention, Manifestations, Transmission of STIs,
Report History of Infection to Sexual Partners
Genital Herpes is
Highly Contagious through Skin
Clinical Manifestations Genital Herpes
Episodic Outbreaks - One or More Clear Vesicles (blisters), Vesicle Ruptures forming
Painful Ulcer
Genital Herpes Diagnosis
Visual Inspection, Cell Culture, Polymerase Chain Reaction Testing
Medications for Genital Herpes
(STIs) questions
and answers
Having 1 STI Increases Risk of
Getting Another; Can Have More than 1 STI at a time
STIs can be Caused by
Bacteria, Viruses, or Parasites
STIs are Spread through
Sexual Contact w/ the Penis, Vagina, Anus, Mouth, or Sexual Fluids of an Infected
Person; Skin-to-Skin (HPV), Via Blood or Blood Products (HIV or Mother-to-Baby),
Autoinoculation (touch of infection)
Bacterial Infections
Chlamydia, Gonorrhea, Syphilis
Parasitic/Protozoan Infections
Trichomoniasis
Viruses
Genital Herpes, Genital Warts, HIV, AIDS, Hepatitis B and C
Incubation Period
Time from Initial Infection to Time Symptoms First Appear or Screening Tests are
Positive; Transmission can occur while Asymptomatic
Nursing Roles of STIs
Education, Counseling, Referral
High Risk Factors for STIs
Alcohol or Drug Use, New or Hx of Multiple Sexual Partners, Sexual Partners w/
Multiple Partners, Inconsistent or Incorrect Use of Condoms or Other Barrier Methods
High Risk Populations for STIs
Adolescents w/ Early Onset of Sexual Intercourse, Some Ethnic Groups, Men who have
Sex w/ Men (MSM), Incarcerated Individuals, Transgender Women, Victims of Sexual
Assault, Persons of Low Socioeconomic Status
Human Papillomavirus (HPV) is a Precursor to
Cervical Cancer
HPV is Transmitted through
Genital and Oral Sex; Congenitally from Mother to Fetus; Becomes Systemic by
Entering Blood and Lymphatic System
Clinical Manifestations of HPV
Asymptomatic - Routine Screenings for Females 21-25yo (Pap); Genital Warts -
Caused by Noncancerous Strains of HPV (condylomata acuminate)
, HPV Diagnosis
PAP Test, HPV DNA Testing for Detection of Oncogenic HPV if Over 30 years old,
Colposcopy if Abnormal PAP or High Risk
HPV Treatment
Loop Electrosurgical Excision Procedure, Ablation, Excision, Laser Conization
HPV Teaching
Prevention, Manifestations, Treatment, Healthy Practices, Gardasil Vaccine, Report Hx
of Infection to Partners, Appropriate Application of Meds - Gels, Creams, Ointments for
Genital Warts; Do NOT use if Pregnant; Call Provider if Worsening Pain or Vaginal
Discharge
Gardasil Vaccine
for HPV; Given in 2-3 IM Doses over 6 Month Period; As Early as Age 11 up to Age 26
Syphilis Prevalently Affects
MSM, Black MSM Ages 25-29 years old
Syphilis is Transmitted through
Genital and Oral Sex; Congenitally from Mother to Fetus; Becomes Systemic by
Entering Blood and Lymphatic System; Bacteria - Spirochete Treponema Pallidum
Syphilis Primary Stage
Painless, Hard Lesion Develops (chancre)
Syphilis Secondary Stage
Maculopapular Rash Develops on Palms of Hands and Soles of Feet
Syphilis Latent Stage
No S/S
Syphilis Tertiary Stage
Gummas Cause Damage to Internal Organs, Profound Damage to the Cardiac System
or CNS may Result in Valvular Problems, Seizures, Mobility Issues, and Paralysis;
Neurosyphilis can be Present at Any Stage
Syphilis Diagnosis
Nontreponemal Tests - look for Indirect Markers of Infection; Treponemal Tests - look
for Direct Markers of Infection; Darkfield Microscopic Test
Syphilis Medications
Penicillin G IM in Single Dose; Doxycycline or Tetracycline Orally if Allergic to Penicillin
(do NOT Administer if Pregnant)
Syphilis Assessments
Vital Signs, Presence of Cancer, Skin, Neurological Status, Serology Tests
Syphilis Teaching
Importance of Seeking Treatment, Prevention, Manifestations, Transmission of STIs,
Report History of Infection to Sexual Partners
Genital Herpes is
Highly Contagious through Skin
Clinical Manifestations Genital Herpes
Episodic Outbreaks - One or More Clear Vesicles (blisters), Vesicle Ruptures forming
Painful Ulcer
Genital Herpes Diagnosis
Visual Inspection, Cell Culture, Polymerase Chain Reaction Testing
Medications for Genital Herpes
