OB PART II 2025 (MATERNITY - 13TH
ED) CH 7 SEXUALLY TRANSMITTED
& OTHER INFECTIONS - EXAM #1
QUESTIONS VERIFIED ANSWERS
ALREADY GRADED A
Syphilis is a complex disease that can lead to serious systemic illness and even
death if left untreated. Which manifestation differentiates primary syphilis from
secondary syphilis?
a. Fever, headache, and malaise
b. Widespread rash
c. Identified by serologic testing
d. Appearance of a chancre 2 months after infection - CORRECT
ANSWER>>>>D
Primary syphilis is characterized by a primary lesion (the chancre), which appears
5 to 90 days after infection. The chancre begins as a painless papule at the site of
inoculation and erodes to form a nontender, shallow, and clean ulcer several
millimeters to centimeters in size. Secondary syphilis occurs 6 weeks to 6 months
after the appearance of the chancre and is characterized by a widespread
maculopapular rash. The individual may also experience fever, headache, and
malaise. Latent syphilis are those infections that lack clinical manifestations;
however, they are detected by serologic testing.
The human papillomavirus (HPV), also known as genital warts, affects 79 million
Americans, with an estimated number of 14 million new infections each year. The
highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic
vaccination to prevent the HPV is now available. Which statement regarding this
vaccine is inaccurate?
a. Only one vaccine for the HPV is available.
b. The vaccine is given in three doses over a 6-month period.
c. The vaccine is recommended for both boys and girls.
d. Ideally, the vaccine is administered before the first sexual contact. - CORRECT
ANSWER>>>>A
,Two vaccines for HPV are available—Cervarix and Gardasil—and other vaccines
continue to be investigated. These vaccines protect against HPV types 6, 11, 16,
and 18. They are most effective 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.
Which sexually transmitted infection (STI) is the most commonly reported in
American women?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. Candidiasis - CORRECT ANSWER>>>>C
Chlamydia is the most common and fastest spreading STI among American
women, with an estimated 3 million new cases each year. Infection rates are two
and a half times that of men. Gonorrhea is probably the oldest communicable
disease in the United States and second to Chlamydia in reported conditions.
Syphilis is the earliest described STI. Candidiasis is a relatively common fungal
infection.
The Centers for Disease Control and Prevention (CDC) recommends which
therapy for the treatment of the HPV?
a. Miconazole ointment
b. Topical podofilox 0.5% solution or gel
c. Two doses of penicillin administered intramuscularly (IM)
d. Metronidazole by mouth - CORRECT ANSWER>>>>B
Available treatments are imiquimod, podophyllin, and podofilox. Miconazole
ointment is used to treat athlete's foot. Penicillin IM is used to treat syphilis.
Metronidazole is used to treat bacterial vaginosis.
A client exhibits a thick, white, lumpy, cottage cheese-like discharge, along with
white patches on her labia and in her vagina. She complains of intense pruritus.
Which medication should the nurse practitioner order to treat this condition?
a. Fluconazole
,b. Tetracycline
c. Clindamycin
d. Acyclovir - CORRECT ANSWER>>>>A
The client is experiencing a candidiasis infection. Fluconazole, metronidazole, and
clotrimazole are the drugs of choice to treat this condition. Tetracycline is used to
treat syphilis. Clindamycin is used to treat bacterial vaginosis. Acyclovir is used to
treat genital herpes.
Which laboratory testing is used to detect the human immunodeficiency virus
(HIV)?
a. HIV screening
b. HIV antibody testing
c. Cluster of differentiation 4 (CD4) counts
d. Cluster of differentiation 8 (CD8) counts - CORRECT ANSWER>>>>B
The screening tool used to detect HIV is the enzyme immunoassay, which tests for
the presence of antibodies to the HIV. HIV-1 and HIV-2 antibody tests are used to
confirm the diagnosis. To determine whether the HIV is present, the test performed
must be able to detect antibodies to the virus, not the virus itself. CD4 counts are
associated with the incidence of acquired immunodeficiency syndrome (AIDS) in
HIV-infected individuals. CD8 counts are not performed to detect HIV.
Which condition is the most life-threatening virus to the fetus and neonate?
a. Hepatitis A virus (HAV)
b. Herpes simplex virus (HSV)
c. Hepatitis B virus (HBV)
d. Cytomegalovirus (CMV) - CORRECT ANSWER>>>>C
HBV is the most life-threatening viral condition to the fetus and neonate. HAV is
not the most threatening to the fetus nor is HSV the most threatening to the
neonate. Although serious, CMV is not the most life-threatening viral condition to
the fetus.
Which treatment regime would be most appropriate for a client who has been
recently diagnosed with acute pelvic inflammatory disease (PID)?
a. Oral antiviral therapy
, b. Bed rest in a semi-Fowler position
c. Antibiotic regimen continued until symptoms subside
d. Frequent pelvic examination to monitor the healing progress - CORRECT
ANSWER>>>>B
The woman with acute PID should be on bed rest in a semi-Fowler position.
Broad-spectrum antibiotics are used; antiviral therapy is ineffective. Antibiotics
must be taken as prescribed, even if symptoms subside. Few pelvic examinations
should be conducted during the acute phase of the disease.
On vaginal examination of a 30-year-old woman, the nurse documents the
following findings: profuse, thin, grayish-white vaginal discharge with a "fishy"
odor and complaints of pruritus. Based upon these findings, which condition would
the nurse suspect?
a. Bacterial vaginosis
b. Candidiasis
c. Trichomoniasis
d. Gonorrhea - CORRECT ANSWER>>>>A
Most women with bacterial vaginosis complain of a characteristic "fishy" odor.
The dischargeis usually profuse, thin, and has a white, gray, or milky color. Some
women may also experience mild irritation or pruritus. The discharge associated
with candidiasis is thick, white, and lumpy and resembles cottage cheese.
Trichomoniasis may be asymptomatic, but women commonly have a characteristic
yellow-to-green, frothy, mucopurulent, copious, and malodorous discharge.
Women with gonorrhea are often asymptomatic. Although they may have a
purulent endocervical discharge, the discharge is usually minimal or absent.
Which viral sexually transmitted infection is characterized by a primary infection
followed by recurrent episodes?
a. Herpes simplex virus 2 (HSV-2)
b. HPV
c. HIV
d. CMV - CORRECT ANSWER>>>>A
The initial HSV genital infection is characterized by multiple painful lesions, fever,
chills,
ED) CH 7 SEXUALLY TRANSMITTED
& OTHER INFECTIONS - EXAM #1
QUESTIONS VERIFIED ANSWERS
ALREADY GRADED A
Syphilis is a complex disease that can lead to serious systemic illness and even
death if left untreated. Which manifestation differentiates primary syphilis from
secondary syphilis?
a. Fever, headache, and malaise
b. Widespread rash
c. Identified by serologic testing
d. Appearance of a chancre 2 months after infection - CORRECT
ANSWER>>>>D
Primary syphilis is characterized by a primary lesion (the chancre), which appears
5 to 90 days after infection. The chancre begins as a painless papule at the site of
inoculation and erodes to form a nontender, shallow, and clean ulcer several
millimeters to centimeters in size. Secondary syphilis occurs 6 weeks to 6 months
after the appearance of the chancre and is characterized by a widespread
maculopapular rash. The individual may also experience fever, headache, and
malaise. Latent syphilis are those infections that lack clinical manifestations;
however, they are detected by serologic testing.
The human papillomavirus (HPV), also known as genital warts, affects 79 million
Americans, with an estimated number of 14 million new infections each year. The
highest rate of infection occurs in young women, ages 20 to 24 years. Prophylactic
vaccination to prevent the HPV is now available. Which statement regarding this
vaccine is inaccurate?
a. Only one vaccine for the HPV is available.
b. The vaccine is given in three doses over a 6-month period.
c. The vaccine is recommended for both boys and girls.
d. Ideally, the vaccine is administered before the first sexual contact. - CORRECT
ANSWER>>>>A
,Two vaccines for HPV are available—Cervarix and Gardasil—and other vaccines
continue to be investigated. These vaccines protect against HPV types 6, 11, 16,
and 18. They are most effective 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.
Which sexually transmitted infection (STI) is the most commonly reported in
American women?
a. Gonorrhea
b. Syphilis
c. Chlamydia
d. Candidiasis - CORRECT ANSWER>>>>C
Chlamydia is the most common and fastest spreading STI among American
women, with an estimated 3 million new cases each year. Infection rates are two
and a half times that of men. Gonorrhea is probably the oldest communicable
disease in the United States and second to Chlamydia in reported conditions.
Syphilis is the earliest described STI. Candidiasis is a relatively common fungal
infection.
The Centers for Disease Control and Prevention (CDC) recommends which
therapy for the treatment of the HPV?
a. Miconazole ointment
b. Topical podofilox 0.5% solution or gel
c. Two doses of penicillin administered intramuscularly (IM)
d. Metronidazole by mouth - CORRECT ANSWER>>>>B
Available treatments are imiquimod, podophyllin, and podofilox. Miconazole
ointment is used to treat athlete's foot. Penicillin IM is used to treat syphilis.
Metronidazole is used to treat bacterial vaginosis.
A client exhibits a thick, white, lumpy, cottage cheese-like discharge, along with
white patches on her labia and in her vagina. She complains of intense pruritus.
Which medication should the nurse practitioner order to treat this condition?
a. Fluconazole
,b. Tetracycline
c. Clindamycin
d. Acyclovir - CORRECT ANSWER>>>>A
The client is experiencing a candidiasis infection. Fluconazole, metronidazole, and
clotrimazole are the drugs of choice to treat this condition. Tetracycline is used to
treat syphilis. Clindamycin is used to treat bacterial vaginosis. Acyclovir is used to
treat genital herpes.
Which laboratory testing is used to detect the human immunodeficiency virus
(HIV)?
a. HIV screening
b. HIV antibody testing
c. Cluster of differentiation 4 (CD4) counts
d. Cluster of differentiation 8 (CD8) counts - CORRECT ANSWER>>>>B
The screening tool used to detect HIV is the enzyme immunoassay, which tests for
the presence of antibodies to the HIV. HIV-1 and HIV-2 antibody tests are used to
confirm the diagnosis. To determine whether the HIV is present, the test performed
must be able to detect antibodies to the virus, not the virus itself. CD4 counts are
associated with the incidence of acquired immunodeficiency syndrome (AIDS) in
HIV-infected individuals. CD8 counts are not performed to detect HIV.
Which condition is the most life-threatening virus to the fetus and neonate?
a. Hepatitis A virus (HAV)
b. Herpes simplex virus (HSV)
c. Hepatitis B virus (HBV)
d. Cytomegalovirus (CMV) - CORRECT ANSWER>>>>C
HBV is the most life-threatening viral condition to the fetus and neonate. HAV is
not the most threatening to the fetus nor is HSV the most threatening to the
neonate. Although serious, CMV is not the most life-threatening viral condition to
the fetus.
Which treatment regime would be most appropriate for a client who has been
recently diagnosed with acute pelvic inflammatory disease (PID)?
a. Oral antiviral therapy
, b. Bed rest in a semi-Fowler position
c. Antibiotic regimen continued until symptoms subside
d. Frequent pelvic examination to monitor the healing progress - CORRECT
ANSWER>>>>B
The woman with acute PID should be on bed rest in a semi-Fowler position.
Broad-spectrum antibiotics are used; antiviral therapy is ineffective. Antibiotics
must be taken as prescribed, even if symptoms subside. Few pelvic examinations
should be conducted during the acute phase of the disease.
On vaginal examination of a 30-year-old woman, the nurse documents the
following findings: profuse, thin, grayish-white vaginal discharge with a "fishy"
odor and complaints of pruritus. Based upon these findings, which condition would
the nurse suspect?
a. Bacterial vaginosis
b. Candidiasis
c. Trichomoniasis
d. Gonorrhea - CORRECT ANSWER>>>>A
Most women with bacterial vaginosis complain of a characteristic "fishy" odor.
The dischargeis usually profuse, thin, and has a white, gray, or milky color. Some
women may also experience mild irritation or pruritus. The discharge associated
with candidiasis is thick, white, and lumpy and resembles cottage cheese.
Trichomoniasis may be asymptomatic, but women commonly have a characteristic
yellow-to-green, frothy, mucopurulent, copious, and malodorous discharge.
Women with gonorrhea are often asymptomatic. Although they may have a
purulent endocervical discharge, the discharge is usually minimal or absent.
Which viral sexually transmitted infection is characterized by a primary infection
followed by recurrent episodes?
a. Herpes simplex virus 2 (HSV-2)
b. HPV
c. HIV
d. CMV - CORRECT ANSWER>>>>A
The initial HSV genital infection is characterized by multiple painful lesions, fever,
chills,
