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Unit 7 - STI's
Test 2
43
Nursing
Undergraduate 3
07/18/2014

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Cards

Term
What is infertility?
Definition
inability to conceive one year after unprotected intercourse
Term
What do AA think about fertility treatments?
Definition
assisted reproductive techniques are unnatural and remove the spiritual or divine
Term
What do Mexican's think about children?
Definition
children validate the marriage
Term
What do Asian's think about infertility?
Definition
avoid the stigmatization of infertility
Term
What do Jews think about children?
Definition
it is an obligation and responsibility to have children
Term
What female problems can cause infertility?
Definition
Ovarian dysfunction
Tubal/pelvic pathology
Term
What male problems can cause infertility?
Definition
Low number of sperm (< 20 million)
Sperm are not healthy and mature (> 50% motility)
Sperm can not penetrate the egg.
Term
What risk factors are associated with infertile women?
Definition
Overweight/underweight
Uterine fibroids
Tubal blockages
STIs
Age older than 27
Endometriosis
Smoking and alcohol
Multiple miscarriages
Psychological stress
Term
What risk factors as associated with infertile men?
Definition
Exposure to lead, mercury, x-rays, chemo
Smoking and alcohol
Rx. Meds for ulcers
Exposure of genitals to hot temps (spas, tubs)
Obesity
Cushing syndrome
Undescended testicles
Mumps after puberty
Term
WHat is the nurses role in the infertile patient?
Definition
Provide information
Anticipatory guidance
Stress management
Counseling
Term
What organizations can help infertile people?
Definition
-RESOLVE
-American Society of Reproductive Medicine
-Internation Counsel on INfertility
-American Fertility Assoc.
-Bartarelli Found.
-Internation Consumer Support for Infertility.
Term
What are the fertility drugs?
Definition
-Clomid
-Human Menopausal Gonadotropin / Pergonal
Term
What are the procedures you can do for infertility?
Definition
Artificial insemination
In vitro
GIFT
ICSI
Donor sperm/oocytes
PGD
Surrogacy
Term
What is Clomid?
Definition
A nonsteroidal synthetic anti estrogen used to induce ovulation.

Nurse can advise couple to have injections every other day for 1 week start gin after day 5 of medication
Term
What is HMG?
Definition
Induces ovulation by direct follicle stimulation of ovarian follicle.
Term
What is GIFT?
Definition
Gamete Intrafallopian Transfer
Term
What is ICSI?
Definition
Intracytoplasmic Sperm INjection
Term
What is PGD?
Definition
Perimplantation Genetic Diagnosis
Term
What should you teach w/ clomid in females
Definition
Teach when in the cycle to take the medication (days 5-9)
Teach side effects
Teach adverse reactions
Teach about possibility of multiple births
Term
What should you teach w/ clomid in males?
Definition
St. Johns Wort affects sperm cells and causes decreased sperm motility and decreased viability.
Term
What risks to STI's pose to pregnancy?
Definition
greater risk and complications in women- cervical cancer, infertility, ectopic pregnancy, chronic pelvic pain, and death
Term
What are the fetal effects of candidas?
Definition
Can get thrush
Term
What are the fetal effects of trichomoniasis?
Definition
Risk of premature birth
Term
What are the fetal effects of bacterial vaginosis?
Definition
Risk of neonatal sepsis
Term
What are the fetal effects of chlyamida?
Definition
Conjuctivitis that can lead to BLINDNESS
Low birth weight
pneumonitis
Term
What are the fetal effects of gonorrhea?
Definition
Eye infection that can lead to blindness
Term
What are the fetal effects of herpes?
Definition
Birth anomalies, transplacental infection
Term
What are the fetal effects of syphilis?
Definition
Congential syphilis, multisystem organ damage, structural damage, metal retardation
Term
What are the fetal effects of HPV?
Definition
None
Term
What are the fetal effects of Hepatits B?
Definition
Can become chronic carrier of it which lead to liver cancer/cirrohiss
Term
What are the fetal effects of HIV?
Definition
Tranmission of the disease can occur transplacentally during childbirth or through breast milk
Term
What is used to treat vaginosis?
Definition
Clindamycin (Cleocin) or Flagyl
Term
What is used to treat chlamydia?
Definition
Doxycycline (Vibromycin) or Zithromax
Term
What is used to treat gonorrhea?
Definition
Azithromycin(Zithro-max) or Vibromycin
Term
What is used to treat Syphilis?
Definition
Penicillin G
Term
What is used to treat Group B Strep?
Definition
Penicillin G
Term
What are the bacterial infections?
Definition
-Vaginosis
-Chlamydia
-Gonorrhea
-Syphilis
-Group B
Term
What are the viral infections?
Definition
-Herpes
-HPV
-Hepatis A/B
-HIV
Term
How do you treat herpes?
Definition
No cure but tx. For symptoms
Acyclovir (Zovirax)
Valacyclovir (Valtrex)
Term
How do you treat HPV?
Definition
Vaccine
Term
How do you treat Hep A and B?
Definition
Vaccine
Term
What treats Candidas?
Definition
Not considered an STI
Miconazole (Monistate)
Term
What treats Trichomoniasis?
Definition
Metronidazole (Flagyl)

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