NURS 3450 Module 2 CH 7

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What is the recommended screening schedule for HBsAg in pregnant women?

All pregnant women at the first prenatal visit regardless of previous testing and again at birth if the woman is at high risk for HBV infection.

What is the significance of HBsAg persistence in the blood?

The woman is identified as having chronic HBV infection.

What is the purpose of monoprophylaxis in household members and sexual contacts?

To prevent transmission of HBV infection.

What are the common symptoms of HBV infection?

Arthralgias, arthritis, lassitude, anorexia, nausea, vomiting, headache, fever, and mild abdominal pain. Signup and view all the answers

What laboratory studies may be ordered if the HBsAg test result is positive?

Anti-HBe, anti-HBc, serum glutamicoxaloacetic transaminase (SGOT), alkaline phosphatase, and a liver panel. Signup and view all the answers

Why is it essential to screen clients at high risk for contracting HBV regularly?

To prevent transmission and to identify HBV-positive individuals who require further testing for HIV, syphilis, gonorrhea, and chlamydia. Signup and view all the answers

What is the recommended vaccination schedule for HBV?

A two-dose series administered intramuscularly. Signup and view all the answers

What is the significance of clay-colored stools, dark urine, increased abdominal pain, and jaundice in HBV infection?

These symptoms indicate the progression of HBV infection. Signup and view all the answers

What is the significance of culturing body fluids of infants born through an infected vagina?

To detect potential infection and provide early intervention Signup and view all the answers

What emotions may surface in individuals diagnosed with an incurable STI such as herpes?

Helplessness, anger, denial, guilt, anxiety, shame, or inadequacy Signup and view all the answers

What is the purpose of serologic testing in diagnosing HAV infection?

To detect the immunoglobulin M (IgM) antibody Signup and view all the answers

What is the primary goal of treatment for HAV infection?

Supportive care Signup and view all the answers

How can women with herpes affect their current and future relationships?

By affecting their sexuality, sexual practices, and raising the issue with their partners or future partners Signup and view all the answers

What is the most effective preventive measure in mitigating the transmission of HAV among persons at risk for infections?

Vaccination Signup and view all the answers

What complications may arise in pregnant women infected with HAV?

Dehydration, nausea, and vomiting, and signs or symptoms of acute liver failure Signup and view all the answers

What substances should be avoided by women with HAV infection to prevent liver damage?

Medications and ingested substances metabolized in the liver, such as acetaminophen and ethyl alcohol Signup and view all the answers

What is the most sensitive test for diagnosing chlamydia in women, and what specimens are used?

The nucleic acid amplification test (NAAT) is the most sensitive test, and it uses urinary, vaginal, or endocervical specimens. Signup and view all the answers

What are the recommended treatments for urethral, cervical, and rectal chlamydial infections, and what is the special consideration for pregnant women?

The recommended treatments are azithromycin, levofloxacin, or doxycycline, and for pregnant women, azithromycin or amoxicillin is used, with a retest in approximately 4 weeks to determine if treatment was effective. Signup and view all the answers

What is the emotional impact of being diagnosed with a sexually transmitted infection (STI) on an individual's sexual health and relationships?

Being diagnosed with an STI can lead to feelings of anxiety, shame, and guilt, and can affect an individual's self-esteem and relationships. Signup and view all the answers

How can pregnancy complications be prevented or minimized in women with a history of chlamydial infections?

Pregnancy complications can be prevented or minimized by screening for chlamydia, receiving prompt treatment, and retesting 3 months after treatment, as well as practicing safe sex and using contraception. Signup and view all the answers

What is the importance of preventing liver disease in individuals with a history of viral hepatitis infections?

Preventing liver disease is crucial in individuals with viral hepatitis infections, as it can lead to chronic liver disease, cirrhosis, and liver cancer. Signup and view all the answers

What is the role of contraception in preventing pregnancy complications in women with a history of STIs?

Contraception plays a crucial role in preventing pregnancy complications by reducing the risk of unintended pregnancies and promoting maternal and fetal health. Signup and view all the answers

How can healthcare providers support individuals with a history of STIs in managing their emotional and psychological well-being?

Healthcare providers can support individuals by providing non-judgmental care, offering counseling and resources, and promoting open communication about sexual health and relationships. Signup and view all the answers

What is the importance of screening for viral hepatitis infections in individuals with a history of high-risk behaviors?

Screening for viral hepatitis infections is essential in individuals with a history of high-risk behaviors, as it can lead to early detection and treatment, and prevent liver disease and complications. Signup and view all the answers