NURS 431 Final Exam | Actual Verified study with
Complete Solutions | A+ Graded | 2026 Updates |
100% correct
Preconceptual Care
Bacterial STIs - ANSWER- -bacterial vaginosis
-chlamydia
-gonorrhea
-syphilis
Preconceptual Care
Viral STIs - ANSWER- -genital herpes
-Hep B
-HIV
-HPV
Preconceptual Care
Parasite/Fungal STIs - ANSWER- -candidiasis (yeast)
-trichomoniasis
-pubic lice/scabies
Preconceptual Care
Bacterial Chlamydia - ANSWER- S/S
-none in 75% of women
-abnormal discharge
-spotting/bleeding
-dysuria, dyspareunia
-PID (chlam. causes 50% cases)
,Diagnosis
-vaginal swab/culture, urine test
Treatment
-doxycycline 100 mg PO BID x 7 days
-TOC
Untreated
-PID -> infertility, ectopic pregnancy, chronic pelvic pain
-cystitis
-increased HIV/AIDS risk
-premature delivery
-neonatal conjunctivitis
-neonatal pneumonia
Preconceptual Care
Gonorrhea - ANSWER- S/S
-none often (1/3)
-yellow/green, sometimes bloody discharge
-intermenstrual bleeding
-irregular/heavy menses
-dyspareunia/dysuria
-erythema, pruritis, or draining from eye
-rectal itching
Diagnosis
-vaginal culture, urine test
-providers must report all cases to local health department (legally enforceable)
Treatment
-ceftriaxone (Rocephin) 500 mg IM (1 dose)
,-1 g if patient >/= 150kg)
-TOC
-must treat all partners
Untreated
-increase HIV risk, PID
-systemic inflammation
-miscarriage, PTL, PROM, chorioamnionitis
-IUGR, blindness of baby
Preconceptual Care
Pelvic Inflammatory Disease (PID) - ANSWER- infection of the uterus, fallopian tubes, and
other organs
-results from ascending spread of organisms from STI
S/S
-chronic pelvic pain
-abdominal pain
-ectopic pregnancy
-infertility
-irregular bleeding
-fever (late), nausea, chills
Diagnosis
-based on known infection, history, and risk factors
-laparoscopy or laparotomy
Treatment
-Ceftriaxone 1 g IV Q24H PLUS doxycycline 100 mg PO or IV Q12H PLUS Mentronidazole 500 mg
orally or IV Q12H
-often start with IV doses (inpatient) and then discharge on oral abx
, -education to decrease recurrence
Preconceptual Care
Syphilis Stages - ANSWER- Primary
-single chancre appears on genitals
-lip chancres 5-90 days after infection
Secondary
-widespread maculopapular rash on palms and soles of feet occurs 6wks-6months after chancre
-s/s -> fever, HA, malaise, lymphadenopathy, sores on palms and soles, patchy alopecia
Latent (early and late)
-usually 2 years after transmission -> asymptomatic but serologically positive
-early latent -> infections and lesions may reoccur -> infectious
-late latent -> not infectious except for fetus of pregnant women
Tertiary
-develops in 1/3 of untreated
-neurologic, MSK, and multi-organ systemic failure and death
Preconceptual Care
Syphilis - ANSWER- Diagnosis
-blood tests
Treatment
-penicillin G 2.4 million units (single dose IM)
-if long duration, may give 1 dose per week for 3 weeks
-rescreen serologically after initial treatment (TOC)
Education
-safe sex
-condom use
-routine testing and treatment
Complete Solutions | A+ Graded | 2026 Updates |
100% correct
Preconceptual Care
Bacterial STIs - ANSWER- -bacterial vaginosis
-chlamydia
-gonorrhea
-syphilis
Preconceptual Care
Viral STIs - ANSWER- -genital herpes
-Hep B
-HIV
-HPV
Preconceptual Care
Parasite/Fungal STIs - ANSWER- -candidiasis (yeast)
-trichomoniasis
-pubic lice/scabies
Preconceptual Care
Bacterial Chlamydia - ANSWER- S/S
-none in 75% of women
-abnormal discharge
-spotting/bleeding
-dysuria, dyspareunia
-PID (chlam. causes 50% cases)
,Diagnosis
-vaginal swab/culture, urine test
Treatment
-doxycycline 100 mg PO BID x 7 days
-TOC
Untreated
-PID -> infertility, ectopic pregnancy, chronic pelvic pain
-cystitis
-increased HIV/AIDS risk
-premature delivery
-neonatal conjunctivitis
-neonatal pneumonia
Preconceptual Care
Gonorrhea - ANSWER- S/S
-none often (1/3)
-yellow/green, sometimes bloody discharge
-intermenstrual bleeding
-irregular/heavy menses
-dyspareunia/dysuria
-erythema, pruritis, or draining from eye
-rectal itching
Diagnosis
-vaginal culture, urine test
-providers must report all cases to local health department (legally enforceable)
Treatment
-ceftriaxone (Rocephin) 500 mg IM (1 dose)
,-1 g if patient >/= 150kg)
-TOC
-must treat all partners
Untreated
-increase HIV risk, PID
-systemic inflammation
-miscarriage, PTL, PROM, chorioamnionitis
-IUGR, blindness of baby
Preconceptual Care
Pelvic Inflammatory Disease (PID) - ANSWER- infection of the uterus, fallopian tubes, and
other organs
-results from ascending spread of organisms from STI
S/S
-chronic pelvic pain
-abdominal pain
-ectopic pregnancy
-infertility
-irregular bleeding
-fever (late), nausea, chills
Diagnosis
-based on known infection, history, and risk factors
-laparoscopy or laparotomy
Treatment
-Ceftriaxone 1 g IV Q24H PLUS doxycycline 100 mg PO or IV Q12H PLUS Mentronidazole 500 mg
orally or IV Q12H
-often start with IV doses (inpatient) and then discharge on oral abx
, -education to decrease recurrence
Preconceptual Care
Syphilis Stages - ANSWER- Primary
-single chancre appears on genitals
-lip chancres 5-90 days after infection
Secondary
-widespread maculopapular rash on palms and soles of feet occurs 6wks-6months after chancre
-s/s -> fever, HA, malaise, lymphadenopathy, sores on palms and soles, patchy alopecia
Latent (early and late)
-usually 2 years after transmission -> asymptomatic but serologically positive
-early latent -> infections and lesions may reoccur -> infectious
-late latent -> not infectious except for fetus of pregnant women
Tertiary
-develops in 1/3 of untreated
-neurologic, MSK, and multi-organ systemic failure and death
Preconceptual Care
Syphilis - ANSWER- Diagnosis
-blood tests
Treatment
-penicillin G 2.4 million units (single dose IM)
-if long duration, may give 1 dose per week for 3 weeks
-rescreen serologically after initial treatment (TOC)
Education
-safe sex
-condom use
-routine testing and treatment
