A 20-year-old college student expresses concern over the recent appearance of genital warts, an assessment finding her primary care provider confirms as attributable to HPV infection. Which client education should be included?

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Maternal Disorders Questions

Question 1 of 5

A 20-year-old college student expresses concern over the recent appearance of genital warts, an assessment finding her primary care provider confirms as attributable to HPV infection. Which client education should be included?

Correct Answer: B

Rationale: The correct answer is B: There is a chance that the genital warts will clear up on their own without any treatment. Rationale: 1. Genital warts caused by HPV can sometimes resolve spontaneously without treatment. 2. This option emphasizes the possibility of self-resolution, which is a common occurrence. 3. Encouraging observation without immediate treatment aligns with current guidelines for managing HPV-related genital warts. 4. Avoiding unnecessary treatment helps prevent potential side effects and reduces healthcare costs. Summary of Incorrect Choices: A: Incorrect because immediate treatment is not always necessary for genital warts caused by HPV. C: Incorrect because HPV vaccination does not treat existing HPV infections, including genital warts. D: Incorrect because developing pelvic inflammatory disease is not directly related to the presence of genital warts caused by HPV.

Question 2 of 5

A client comes to an outpatient clinic for evaluation. What in the client's blood sample reveals that administration of the hepatitis B vaccine has been effective?

Correct Answer: B

Rationale: The correct answer is B: anti-HBs. This antibody indicates successful immunity after hepatitis B vaccination. It is produced in response to the vaccine and signifies protection against the virus. Choice A, HBsAg, is present in acute infection. Choices C and D, anti-HBc IgM and anti-HBc, indicate acute or chronic infection, not vaccine response.

Question 3 of 5

An absence of what may facilitate the occurrence of bacterial vaginosis?

Correct Answer: B

Rationale: Correct Answer: B - Lactobacillus acidophilus Rationale: Lactobacillus acidophilus is a beneficial bacteria that helps maintain the acidic pH of the vagina, inhibiting the growth of harmful bacteria like Gardnerella vaginalis. An absence of Lactobacillus acidophilus can disrupt the vaginal microbiota balance, allowing for the overgrowth of harmful bacteria and leading to bacterial vaginosis. Summary of Incorrect Choices: A: Antibodies - Antibodies play a role in the immune response but are not directly related to the occurrence of bacterial vaginosis. C: Gardnerella vaginalis - Gardnerella vaginalis is a bacteria associated with bacterial vaginosis, not its absence. D: Vaginal mucosa - The integrity of the vaginal mucosa is important for protection, but its absence would not directly facilitate bacterial vaginosis.

Question 4 of 5

Which best describes the signs and symptoms of trichomoniasis in women?

Correct Answer: B

Rationale: Rationale: Trichomoniasis is characterized by malodorous, frothy yellow-green vaginal discharge due to the presence of Trichomonas vaginalis parasite. This discharge is a hallmark sign of the infection. Other choices are incorrect because: A: Foul, fishy odor and thick clumpy white discharge are more indicative of bacterial vaginosis or yeast infection. C: Dysuria and thin milky-white discharge are more suggestive of a urinary tract infection. D: Trichomoniasis can manifest with symptoms in women such as vaginal discharge, itching, and discomfort.

Question 5 of 5

A client with a history of herpes simplex virus (HSV-2) infection asks the nurse about future sexual activity. Which response is most appropriate?

Correct Answer: D

Rationale: Correct Answer: D Rationale: 1. Informing all potential sexual partners about the HSV-2 infection, even if inactive, is crucial to ensure transparency and promote informed decision-making. 2. HSV-2 can be transmitted even when symptoms are not present, so partners need to be aware of the risk. 3. This approach demonstrates respect for the partners' autonomy and enables them to make choices regarding their own health. Summary: A: Incorrect. Using a condom is important even when the infection is inactive to prevent transmission. B: Incorrect. Refraining from all sexual activity may not be necessary if proper precautions are taken. C: Incorrect. Using a condom only when the infection is active does not fully address the risk of transmission during asymptomatic periods.

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