Unit 1 Sexuality

These flashcards cover key concepts from the lecture on Sexuality, Family Planning, Preconception Counseling, STIs, and Responsible Sexual Behavior.

What are the high-risk groups for sexually transmitted infections (STIs)?

Females, individuals aged 15–24, older adults, and those who are immunocompromised.

What is the preferred treatment for Chlamydia during pregnancy?

Azithromycin.

What is the treatment for Gonorrhea according to CDC recommendations?

CDC-recommended antibiotic therapy.

What is the medication used to treat Syphilis?

IM Penicillin G.

What is the effect of proper hand hygiene in relation to sexually transmitted infections?

It is essential to prevent the spread of infections.

Which method of contraception is the only one that provides protection against both STIs and pregnancy?

Male condoms.

What should patients do if they experience the Jarisch-Herxheimer reaction after Syphilis treatment?

Expect symptoms like fever and chills as a reaction to treatment.

What are the side effects of Combined Oral Contraceptives (COCs)?

Nausea, breast tenderness, and risk of blood clots.

What acronym is used for warning signs associated with COCs?

ACHES (Abdominal pain, Chest pain, Headache, Eye problems, Severe leg pain).

How long can an IUD provide contraceptive protection?

3 to 10 years.

What are the phases of the menstrual cycle influenced by?

Dominant hormones such as estrogen and progesterone.

What psychological effects can a diagnosis of STI trigger?

Grief, fear, anxiety, and guilt.

How should a nurse provide support to patients diagnosed with STIs?

Use therapeutic communication to help them process the emotional impact.

What role does culture play in contraceptive choice?

Nursing priority is to assess the patient’s beliefs without imposing choices.

What constitutes responsible sexual behavior?

Practicing mutual monogamy and avoiding drugs and alcohol that impair decision making.

What control measure is recommended for HPV prevention?

Use of the Gardasil vaccine.

What are the complications of untreated Gonorrhea?

PID, infertility, and increased HIV transmission risk.

What is the recommended treatment for Genital Herpes?

Acyclovir, Valacyclovir, or Famciclovir for symptom control.

What is a significant risk of using spermicides for contraception?

They can increase the risk of HIV transmission.

What prominent symptom indicates menopause?

Permanent cessation of menses.

What factors can contribute to early menopause?

Genetics, smoking, obesity, and certain medications or medical treatments.

What dietary changes are recommended for planned pregnancies?

Eating healthier, exercising appropriately, and avoiding harmful medications.

What should clients be educated about with hormonal contraceptives?

Potential side effects and how to properly use them.

What are the signs that indicate when to avoid sexual intercourse during the menstrual cycle?

When estrogen causes cervical mucus to become clear, slippery and stretchy.

What is the hallmark of primary dysmenorrhea?

No underlying pathology with pain due to prostaglandin release.

What is a common symptom of secondary dysmenorrhea?

Pain that worsens over time due to an underlying condition.

What is the definition of dysfunctional uterine bleeding (DUB)?

Irregular or excessive bleeding that disrupts daily life.

What is the primary purpose of a Pap smear?

To detect cellular changes related to HPV.

What nursing interventions are important for clients experiencing menstrual dysfunction?

Assessment of menstrual history, pelvic exams, and pharmacologic therapies.

What are the risks associated with hormone replacement therapy (HRT)?

Blood clots, stroke, and increased risk of breast cancer.

What natural method of family planning requires extensive education?

Fertility awareness methods.

What is the most accurate natural family planning method?

Symptothermal Method.

What are the potential complications of a hysterectomy?

Ectopic pregnancy and complications related to loss of fertility.

What is the importance of patient education in STI prevention?

To ensure compliance and understanding of safer sexual practices.

What is a common side effect of progestin-only pills?

Breakthrough bleeding.

What medication can be used as emergency contraception?

Plan B or Copper IUD.

What does the term 'STI' stand for?

Sexually Transmitted Infection.

How long must a diaphragm be left in place after use?

At least 6 hours.

What nursing priority should be considered during patient assessment for STIs?

Non-judgmental assessment of sexual history.

What treatment is used for genital warts associated with HPV?

Topicals such as Imiquimod or Podofilox.

What key point should patients understand about the use of condoms?

They reduce but do not eliminate the risk of STIs.

What significant impact can unplanned pregnancy have on maternal and fetal health?

Increased risk to both mother and fetus.

What is essential in educating patients about contraceptive methods?

Discussion of effectiveness, correct usage, and side effects.

What type of contraception is considered 100% effective?

Abstinence.

A nurse is educating a client who was recently diagnosed with Syphilis and treated with IM Penicillin G. Which statement by the client indicates an understanding of the Jarisch-Herxheimer reaction?

"I should expect to possibly experience a fever and chills shortly after my treatment."

A client taking Combined Oral Contraceptives (COCs) reports sudden, severe leg pain. Which acronym should the nurse use to assess for serious adverse effects, and what does it stand for?

ACHES:

• A: Abdominal pain

• C: Chest pain

• H: Headache

• E: Eye problems

• S: Severe leg pain

A nurse is providing contraceptive counseling to a client who wants a method that protects against both pregnancy and sexually transmitted infections (STIs). Which method is the only one that meets both criteria?

Male condoms.

A pregnant client is diagnosed with Chlamydia. Which antibiotic does the nurse anticipate the provider will prescribe?

Azithromycin.

Which finding during a physical assessment of cervical mucus would the nurse identify as indicating the most fertile period of the menstrual cycle?

Cervical mucus that is clear, slippery, and stretchy (spinnbarkeit).

A nurse is preparing to administer the Gardasil vaccine. What is the primary purpose of this immunization?

Prevention of Human Papillomavirus (HPV) infection and associated cervical cancers.

A client asks the nurse how long a diaphragm must remain in place after vaginal intercourse. What is the correct nursing response?

At least 6 hours.

A menopausal client is considering Hormone Replacement Therapy (HRT). Which risks must the nurse include in the teaching plan?

Increased risk of blood clots, stroke, and breast cancer.

A nurse is caring for a client with primary dysmenorrhea. How should the nurse explain the pathophysiology of this condition?

It is pain caused by the release of prostaglandins during the menstrual cycle without an underlying pelvic pathology.

Which high-risk groups should the nurse prioritize for sexually transmitted infection (STI) screening and education?

Females, individuals aged 15-24, older adults, and immunocompromised individuals.

A nurse is assessing a client for potential complications of untreated Gonorrhea. Which conditions should the nurse monitor for?

Pelvic Inflammatory Disease (PID), infertility, and an increased risk of HIV transmission.

What is the priority nursing intervention for a client who has just received a diagnosis of an STI and is exhibiting signs of grief and guilt?

Utilize therapeutic communication to support the patient in processing the emotional impact of the diagnosis.

A client is interested in the most accurate method of natural family planning. Which method should the nurse discuss?

The Symptothermal Method.

A nurse is instructing a client on the use of spermicides. What significant safety risk should be emphasized regarding HIV transmission?

Spermicides can cause vaginal irritation, which may increase the risk of HIV transmission.

A nurse is performing a sexual history assessment. What approach should the nurse take to ensure accurate data collection?

Maintain a non-judgmental attitude and use a direct, professional interviewing style.

A client is prescribed topicals such as Imiquimod or Podofilox. What condition is the nurse primarily treating?

Genital warts associated with Human Papillomavirus (HPV).

Which contraceptive method is considered 100\% effective in preventing both pregnancy and STIs?

Abstinence.