Week 1: Exam 1

HIV: Risk Factors

IV drug use

multiple partners

history of STIs

HIV: Lab Diagnostic

antibody screening

western blot test

immunofluorescence assay

HIV: Management

Antiretroviral therapy

monitor bone marrow suppression

monitor hem/plat count

monitor WBCs

babies bathed in first hour

no breastfeeding

Chlamydia: Complications

PID

PROM

preterm labor

postpartum endometriosis

transmission

Chlamydia: Transmission complications

conjuctivities

ophthalmia neonatorum (conjunctiva inflammation)

pneumonia

Chlamydia: Risk Factors

multiple partners

unprotected sex

Chlamydia: Expected Findings

Asymptomatic

Dysuria

urinary frequency

spotting/postcoital bleeding

vulvar itching

gray/white discharge

Chlamydia: Lab test

endocervical swab

urine culture

Chlamydia: Nursing Actions/ Education

take full prescription

pregnant clients- test 3/4 weeks after meds

no sex til completed

partners treated

reported disease

Chlamydia: Management

Azithromycin

Amoxicillin

erthyomycin

Gonorrhea: Complications in transmission

IUGR

Ophthalmia neonatorum

Gonorrhea: Risk Factors

multiple partners

unprotected sex

<25 sexually active

Gonorrhea: Expected Findings

dysuria

pain in lower abdomen

pelvic area pain

purulent discharge

Gonorrhea: Lab findings

yellow/green discharge

easily induced cervical bleeding

Gonorrhea: Lab Test

endocervical culture

urine culture

anal/oral culture

Gonorrhea: Nursing Actions/Education

treat all partners

take all meds

pregnant clients test 3/4 weeks after

no sex

reported disease

Gonorrhea: Management

Ceftriaxone

Azithromycin

Erythromycin (NB)

Syphilis: Risk Factors

multiple partners

unprotected sex

Syphilis: Primary Stage

Chancre

inguinal lymph node edema

Syphilis: Lab Test

Blood test

microscopic exam of lesion

Syphilis: Nursing action/Education

no sex til treatment complete

partners must be treated

consent for coninfections test

reportable disease

Syphilis: Management

Benzathine Penicillin G

Hep B: complications

can cause high risk for physical disabilities and death

Hep B: Risk Factors

multiple partners

unprotected sex

employment in health care

IV drug use

multiple blood transfusions

Hep B: Expected Findings

flu like symptoms

fatigue

abdominal pain

anorexia

Hep B: Lab Test

blood test

Hep B: Nursing Actions/ Education

meds can affect liver

high protein, low fat diet

plenty of fluids

personal hygiene to prevent exposure

safe sex

Hep B: Management

HBV vaccine

Human Papilloma Virus(HPV): Complications

obstruction of birth canal

cervical cancer

Human Papilloma Virus(HPV): Risk factors

multiple partners

unprotected sex

Human Papilloma Virus(HPV): Expected Findings

lesions/bumps in genital area

vaginal discharge

dyspareunia

bleeding after sex

Human Papilloma Virus(HPV): Physical findings

small warts in genital area (cauliflower)

abnormal cervix changes

Human Papilloma Virus(HPV): Nursing Action/ Education

no sex

c-section if lesions are open

Human Papilloma Virus(HPV): Lesion care

loose clothes

oatmeal baths

keep lesions clean and dry

Human Papilloma Virus(HPV): Management

trichloroacetic acid

bichloroacetic acid

Trichonomoniasis: Complications

preterm birth

PROM

increase risk for HIV

PID

SGA (NB)

Trichonomoniasis: Expected Findings

yellow-green frothy discharge

foul discharge

dyspareunia

vaginal itching

dysuria

Trichonomoniasis: Physical findings

strawberry spots on cervix (tiny petechiae)

cervix bleeds easily

Trichonomoniasis: Nursing Action/ Education

no alcohol for 3 days after meds

take all meds

decreases BC effectiveness

treat partners

no sex

retest in 3m

Trichonomoniasis: Management

Metronidazole (breastfeeding safe)

CB nurse roles

patient advocate

educator/counselor

physical care provider

#1 cause of death in women

cardiovacular disease

#2 cause of death

cancers

Social determinants that effect community health

air/water quality

sanitation

ability of residents to meet basic needs

Herpes(HSV) birth precautions

can cause encephalitis and death in baby

if lesions active> c-section

ED treatment:

PDE5 inhibitors (Viagra)

Priapism

erection lasting more than 4 hours

HRT contraindications

estrogen-dependent cancers

h/s of blood clots

Chlamydia Medication

azithromycin or doxycycline

Chlamydia Medication Side effects

nausea

vomiting

photosensitivity

esophagitis

Gonorrhea Meds

Ceftriaxone

Azithromyocin

Gonorrhea Meds Side Effects

pain at injection site

allergic reaction

diarrhea

gi upset

qt prolongation

Syphilis Meds

Penicillin G

Syphilis Meds Side Effects

allergic reaction

pain at injection site

Genital Herpes Meds side effects

headache

nausea

abdominal pain

Trichomoniasis Meds

Metronidazole

PCOS Diagnosis Test

blood test

ultrasound

PCOS treatments

oral BC for regular periods

hormone therapy to regulate hormones/physical symptoms

Gonadotrophin Use:

stimulate ovulation

follicle development

stimulates test. in males

Antiandrogens

reduce effects of testosterone

Antiandrogen use

PCOS

Treatment options for endometriosis

NSAIDs- pain

BC- regulate periods

GN-RH agonist/antagonist- facial hair

Hysterectomy

HIV: complications

preterm birth

low birth weight

perinatal transmission (pregnancy/breastfeeding)

HIV: Expected findings

fatigue

diarrhea

flu like symptoms

anemia

HIV: Pregnancy

IV Zidovudine 3h before c-section

Zidovudine at delivery and 6 weeks later

Chlamydia: Meds Contraindicated in Pregnancy

doxycycline

levofloxacin

Gonorrhea: Complications

PID

Salpingitis (fallopian tube infection)

PROM

preterm birth

intrauterine infection

postpartum sepsis

endometriosis

Syphilis: Complications

brain/eye conditions

increase risk of HIV

long term systemic conditions

death

fetal transmission

Syphilis: Secondary Stage

skin rashes

reddish-brown maculopapular rash on palms/feet

Syphilis: Latent Phase

no visible symptoms

infectious for first 1-2 years

Syphilis: Tertiary Stage

internal organ damage

difficulty coordinating muscle movements

blindness

Human Papilloma Virus(HPV): Lab Diagnostic

Pap

genital warts examination

Trichonomoniasis: Lab test

WBCs

cultures

urine specimen

pap

Organic causes of ED

diabetes

htn

SSRIs

beta-blockers

PDE5 contraindications

nitrate users

Hormone replacement therapy

protects bones and heart if started within 10 years of menopause

Genital Herpes Meds

valacyclovir

Trichomoniasis Meds Side Effects

metallic taste

nausea

vomiting

Gonadotrophin Mechanism of action

FSH stimulates

LH/hcG support maturation/ovulation

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