N 340 Women's Health & Illness in The Expanding Family & N345 Clinical Practicum

Fall 2006

STD (aka STI) and Contraceptive Study Guide

Readings: Lowdermilk: Chapters 7 & 8 (pp 169-189).


Chapter 7

1. What are primary and secondary prevention of STDs?
2. Of the STDs listed which are NOT curable? (You’ll have to read the chapter and identify them as you go along).
3. What is the most common STD?
4. What are the CDC recommendations for screening for Chlamydia?
5. What kinds of symptoms do women have when they have Chlamydia? (This is a sneaky question!)
6. Ask me about the urine test for Chlamydia!
7. What are the symptoms of gonorrhea in women?
8. So when the lesions in primary syphilis disappear does that mean the disease is gone?
9. Which organisms are most commonly the causes of PID?
10. What are some SIGNS and SYMPTOMS of PID?
11. HPV causes ugly and sometimes uncomfortable warts. Other than that, what was the major risk health risk to HPV? We can talk about the vaccine!
12. What is the difference between HSV 1 and HSV 2?
13. What are the symptoms in an initial herpes outbreak?
14. What do the antiviral medications do to a herpes outbreak? Do they cure it?
15. What can we offer women as suggestions for palliative treatment for the pain associated with HSV?
16. What are the symptoms of Hepatitis A? Why is it considered a sexually transmitted disease?
17. Is Hepatitis B or HIV a more common STI?
18. How are pregnant women most likely to get Hep C?
19. Why is it difficult to diagnosis Hepatitis C?
20. How is HIV transmitted?
21. What is our responsibility when a woman is being tested for HIV?
22. What are some SIGNS and SYMPTONS of bacterial vaginosis?
23. What conditions can make women predisposed to a yeast infection?
24. What’s the most common symptom in yeast infections?
25. Why is it recommended that women be screened at 36-37 weeks of gestation for GBS? And what is the recommended treatment for those women whose screen is positive?
26. What are some symptoms of trichomoniasis?
27. What’s a TORCH screen?

Chapter 8
Note: on average 85% of women who are in heterosexual relationships and are not using contraception will conceive in one year. There is a big discrepancy in perfect use rates and actual use. For example the “perfect use” rage for combined oral contraceptives (OCs) is 0.5%. In actual use, 8% of women using OCs will conceive. For withdrawal, the perfect rate is 4% and the actual use rate is 27%. As you can see, the education we provide patients can help them get closer to the “perfect” rate!

1. What is our responsibility for informed consent for women choosing a form of contraception?
2. What are some drawbacks (pun intended!) to coitus interruptus (withdrawal)? This method by the way is the most common form of contraception in the world.
3. What is involved in using natural family planning?
4. What is the physiology behind using the BBT method?
5. What hormone is the ovulation predictor test measuring?
6. Spermicides: What is the controversy related to nonoxynol 9?
7. Condoms: Look at Box 8-3. What is the rationale behind removing the air from the tip of a condom?
8. What is a diaphragm used with to improve its effectiveness?
9. What kind of infections are women using diaphragm more prone to get?
10. What would be an advantage of a cervical cap over a diaphragm?
11. What are the two primary ways combined oral contraceptives (COCs) work?
12. What is the usual reason COCs don’t work? What could nurses do to decrease this risk of failure?
13. What do COCs not protect a woman against?
14. How often do women using the “patch” and the “ring” remove them?
15. What hormone does the minipill, Depo-Provera and Implanon contain?
16. What is ACHES used for?
17. How soon after unprotected intercourse should emergency contraception be prescribed?
18. How does the copper IUD work and how does the progesterone IUD work?
19. A woman who is considering having a tubal ligation tells you: “It will be great to not have to worry about ever getting pregnant again!” What would you tell her?
20. What can men do to reduce the risk of swelling after a vasectomy? I used to joke with some of my patients’ partners and told them to use the “the 2 Beer method of Recovery.” They were to drink one and put the other one between their legs!
21. How long is it until man who has a vasectomy has a negative sperm count (AKA “shooting blanks”)