Author Question: The 15-year-old female tells the nurse that she makes her boyfriend stop intercourse before she has ... (Read 99 times)

mmm · **on:** Jul 23, 2018

The 15-year-old female tells the nurse that she makes her boyfriend stop intercourse before she has an orgasm so she will not get pregnant. What teaching is necessary for this client?

1. Even though she doesn't get pregnant, she might still get a sexually transmitted infection.
2. Intercourse until orgasm may actually reduce conception because the vaginal contractions help to expel sperm.
3. Conceiving is not related to whether or not the female partner experiences an orgasm.
4. As long as her boyfriend does not ejaculate in her vagina, conception is unlikely.

Question 2

The female client has experienced recurrent candidiasis with intense vaginal itching and excoriation. After treatment the client is reexamined, and the nurse practitioner finds presence of a white, cheesy discharge. What recommendation is necessary?

1. Referral to a surgeon for excision of infected tissue
2. Examination and treatment of sexual partner
3. Treatment with a stronger oral antibiotic
4. Routine douches with a topical antibiotic solution

poopface · **Reply #1 on:** Jul 23, 2018

Answer to Question 1

Correct Answer: 3
Rationale 1: Conceiving is not related to experiencing orgasm. This client is very likely to conceive and is also at risk for getting any sexually transmitted infection her boyfriend might have.
Rationale 2: Conceiving is not related to experiencing orgasm.
Rationale 3: Conceiving is not related to experiencing orgasm.
Rationale 4: The seminal fluid expelled prior to ejaculation also contains sperm and can result in pregnancy even if the male ejaculates outside the vagina.

Answer to Question 2

Correct Answer: 2
Rationale 1: There is no need for tissue excision.
Rationale 2: Candidiasis is a sexually transmitted infection. It may be that this woman's sexual partner is also infected with candidiasis and that the couple is transmitting the infection between them.
Rationale 3: Antibiotic therapy is not indicated and may, in fact, complicate treatment.
Rationale 4: Antibiotic therapy is not indicated and may, in fact, complicate treatment.