Author Question: The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the ... (Read 16 times)

justinmsk · **on:** Jul 24, 2018

The nurse at an outpatient clinic is educating a group of young adults regarding prevention of the spread of sexually transmitted infections. Information will include (Select all that apply.)

a. the use of hormonal contraceptives.
b. the use of latex condoms when infection is present.
c. abstinence.
d. frequent use of nonoxynol 9.
e. the importance of partner services.

Question 2

The nurse is completing a female reproductive history on a 16 year old. What important assessment(s) should be included? (Select all that apply.)

a. Breast self-examination (BSE) routine
b. Age of menarche and pattern of menses
c. Smoking and blood pressure history when seeking a prescription for oral contraceptive pills (OCPs)
d. Sexual orientation and number of partners
e. Number of pregnancies, live births, miscarriages, and abortions
f. Nutritional intake of carbohydrates

tsternbergh47 · **Reply #1 on:** Jul 24, 2018

Answer to Question 1

ANS: C, E
Abstinence will prevent sexually transmitted infections, and use of sexual abstinence during the communicable phase of any disease will prevent reinfection. All sexual partners need to understand the importance of partner services, the documentation of all sexual partners for the purpose of providing evaluation and treatment. Hormonal contraceptives do not prevent sexually transmitted infections. When infections are present, abstain from sexual intercourse. A recent study indicates that frequent use of nonoxynol 9 may actually increase the risk of HIV infection during vaginal intercourse because of irritation of vaginal tissues.

Answer to Question 2

ANS: A, B, C, D, E
All women of reproductive age should perform regular BSEs. Onset and pattern of menses provide baseline assessments for future comparison. OCPs are contraindicated in women who smoke or have hypertension. Sexual orientation and number of partners provide a baseline assessment for future STD assessments. Gestational history provides baseline information for future pregnancies. Nutritional intake of carbohydrates is not included when obtaining a female reproductive history.