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OB, Unit 2, Part 2*
Terms in this set (70)
Moral principles that guide one's values
List bacterial STDs
List viral STDs
List Vaginal STDs
Group B strep
Prevention of STDs
Primary- aimed at deterring activities that cause infections
Secondary- early diagnosis and treatment of infections
Risk reduction practices
Reduction of sex partners
Low risk sex
No exchange of body fluids
What is the most common cause of Opthalmia Neonatrum and what is the treatment?
Treatment- Systemic Erythromycin
Chlamydia is known as a "-- disease"
Young person's disease
Treatment of Chlamydia for pregnant women:
Treatment of Chlamydia for non-pregnant women:
Risk factors for Chlamydia?
24 years or younger
Multiple sex partners
New sex partners
CDC recommendation for patients with Chlamydia?
Partner should also receive treatment
What is the most important risk factor for Gonorrhea?
Age (less than 20)
S/S of Gonorrhea:
Presenting symptom: menstrual irregularities
Abdominal pain related to salpingo-oophoritis
Purulent vaginal discharge 3-5 days after exposure
Some patients are asymptomatic
Treatment of Gonorrhea?
S/S of Syphilis:
Maculopapular rash on palms/soles
Newborns with Syphilis:
"Snuffles" -- runny nose
Must be checked before discharge from hospital
Primary treatment of Syphilis?
Treatment for Syphilis if allergic to Penicillin?
Two causes of PID:
S/S of PID:
Low abdominal pain
Increased menstrual cramps
Heavy, foul discharge
Treatment of PID:
Broad spectrum antibiotic
(Multiple drug therapy)
What is the primary cause of cervical cancer and abnormal pap smears?
S/S of HPV:
Painless, flesh colored lesions
Chronic vaginal discharge
Treatment of HPV:
To remove warts and relieve symptoms:
Cryotherapy (during pregnancy)
Imiquimod & Podophyllin (not with pregnancy)
Podofilox (for external warts)
S/S of Herpes:
Multiple painful lesions
Can viral STDs be eradicated?
No-- you have them forever
If a mother has Hepatitis B, what will we do for the baby?
Give the baby immunoglobulin and the Hepatitis B vaccine
Who is at the greatest risk for Hepatitis B?
S/S of Hepatitis B:
Low grade fever
Treatment of Hepatitis B:
Are mothers allowed to breastfeed if they have HIV?
No-- no contact through bodily fluids
Treatment of HIV:
-given PO 14-34 weeks gestation
-given IV during labor
-given to baby as a syrup for 6 weeks
What is used to treat Vaginitis?
S/S of Bacterial Vaginosis:
Thin, gray/white, fishy vaginal discharge
Treatment of Bacterial Vaginosis:
S/S of Candidiasis:
White, thick, curdy discharge that adheres to the cervix and vaginal walls
Perineal and vulva itching
Vulva and labia are red, edematous, sensitive to touch and dyspareunia
Treatment of Candidiasis:
S/S of Trichomonas:
Copious yellow/green, frothy, bubbly vaginal discharge with a strong, foul odor
Petechiae on the upper vagina and cervix
How do we diagnose Trichomonas?
Wet mount slide
Treatment for Trichomonas?
When is screening for Group B Strep done?
26-32 weeks gestation
Treatment of Group B Strep for pregnant women?
Treatment of Group B Strep for non-pregnant women?
What does TORCH stand for?
How is Toxoplasmosis transferred?
To humans through raw meat, goat milk, or cat feces
Toxoplasmosis can cause -- in early pregnancy
Treatment of Toxoplasmosis:
Rubella causes a high incidence of -- in the first and second trimester
Things to consider when treating a Rubella-infected mother:
Do not treat non-immune mother while she is pregnant, give MMR vaccine after birth
What is the specific antibody for Rubella?
What is the most common cause of congenital virus infections in humans and where is it found in the human body?
It is found in the gut
S/S of Cytomegalovirus:
Potential outcomes for a baby with a Cytomegalovirus-infected mother?
Treatment of cytomegalovirus?
No effective treatment, only treat symptoms individually
Criteria for infertility:
One year of unprotected sex without pregnancy
Two types of infertility:
Primary- never been pregnant
Secondary- having trouble getting pregnant again
Assessments of males with infertility problems:
Sperm production and mobility
Low testosterone levels
Structural and hormonal disorders
Assessments for women with infertility problems:
Basic test for males with infertility problems?
Tests for women with infertility problems:
Infertility medication that decreases prolactin levels which encourages ovulation
Infertility medication that is the drug of choice for decreased levels of Progesterone
Infertility drug that potentiates Clomid in women with Polycystic Ovaries
In Vitro Fertilization
Clomid overstimulates the ovaries to produce eggs, eggs are harvested and fertilized, then transferred to the uterus
Laproscopy produces multiple eggs, the eggs are mixed with sperm, then introduced into the fallopian tubes, once fertilized the embryo will move into the uterus on its own
There must be some -- function for GIFT to work
Gonorrhea can result in -- during the postpartum period
Endometritis is a --
Hysterosalpingography can result in referred pain to the --
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