A patient comes to the clinic to be tested for Gonorrhea. Which of the following is true of this particular STD? Select all that apply
if positive at birth the patient should have a C-Section to prevent passing it on to the fetus.
There is often a small sore on the penis or labia that can last up to two weeks
Gonorrhea is treated with antifungal medication.
Vaginal discharge will have a fishy odor.
This is an STD responsible for ophthalmia neonatorum in babies so they are required to be treated with erythromycin.
it can present as a yellow or greenish discharge from the penis
Correct Answer : E,F
A. A C-section is not routinely indicated for gonorrhea unless there are active lesions. It is treated with antibiotics, and the baby is given prophylactic erythromycin to prevent ophthalmia neonatorum.
B. Gonorrhea typically does not present with a small sore; this description is more typical of herpes simplex virus.
C. Gonorrhea is treated with antibiotics (e.g., ceftriaxone), not antifungal medications.
D. Vaginal discharge from gonorrhea is typically yellow or greenish and purulent, not fishy in odor (which is typical of bacterial vaginosis).
E. Gonorrhea can cause ophthalmia neonatorum, and newborns are treated with erythromycin to prevent this.
F. Gonorrhea often causes a yellow or greenish discharge from the penis, a common symptom in men.
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Correct Answer is {"dropdown-group-1":"A","dropdown-group-2":"B"}
Explanation
Performing a vaginal examination is contraindicated in cases of unexplained vaginal bleeding, especially if placenta previa is suspected. It could disrupt the placenta, leading to severe hemorrhage.
Since the client is Rh-negative and there is a risk of fetal-maternal hemorrhage, administering RhoGAM is necessary to prevent Rh sensitization, which could affect future pregnancies.
While prenatal counseling is generally beneficial, it is non-essential in the acute management of vaginal bleeding and doesn't directly address the immediate clinical issue.
Correct Answer is B
Explanation
A. The high blood volume and Wharton's jelly content in the umbilical cord help protect it from compression.
B. The umbilical cord normally contains two arteries and one vein. A statement suggesting two veins is incorrect and indicates a need for additional teaching.
C. The fetal heart starts to beat around 4 weeks of gestation.
D. A Doppler can detect fetal heartbeats as early as 8-12 weeks.
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