A sexual health public health nurse is presenting information on sexually transmitted infections (STIs) to adolescent girls and is asked, "Why are females more at risk for STIS?" Which statements by the nurse would best answer this question? Select all that apply.

"Teenage females have sex as they feel they have power to control the sex act."

"Teenage girls are more susceptible to STIS due to their genital anatomy."

"The female genital tract makes you more sensitive to specific STI organisms.

"The teenage female anatomy is mature, leaving them more susceptible to STIs."

"Teenage females lack communication skills to negotiate for safer sex."

Answer and Explanation

Correct Answer : B,C,E

A. "Teenage females have sex as they feel they have power to control the sex act."

This statement focuses on perceived power dynamics in sexual relationships and does not directly address why females are more at risk for STIs. It also oversimplifies the reasons why teenagers engage in sexual activity.

B. "Teenage girls are more susceptible to STIs due to their genital anatomy."

This statement acknowledges that anatomical differences in female genitalia, such as the presence of a cervix and a larger mucosal surface area, can make females more vulnerable to STIs compared to males.

C. "The female genital tract makes you more sensitive to specific STI organisms."

The female genital tract has a unique environment that can make it more susceptible to certain STIs, such as chlamydia and gonorrhea. This statement highlights the biological factors that contribute to females' increased risk of STIs.

D. "The teenage female anatomy is mature, leaving them more susceptible to STIs."

This statement incorrectly suggests that maturity of the female anatomy increases susceptibility to STIs. While certain anatomical features may contribute to increased risk, maturity itself is not a direct factor. Additionally, it does not provide specific information about why females are more at risk for STIs.

E. "Teenage females lack communication skills to negotiate for safer sex."

This statement addresses social and behavioral factors that may contribute to females' increased risk of STIs, such as challenges in negotiating safer sex practices with their partners. Effective communication skills are essential for discussing sexual health, boundaries, and protection, and lack of these skills can increase vulnerability to STIs.

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Correct Answer is D

Explanation

A. Stability of the woman's emotional and psychological status:

Emotional and psychological well-being are undoubtedly important factors in pregnancy outcomes. However, in the context of gestational diabetes, while stress and psychological factors can influence overall health, including blood sugar levels, they are not the primary focus when discussing reducing complications associated with diabetes during pregnancy. While managing stress and promoting emotional stability are important aspects of prenatal care, they are not directly related to reducing complications specifically associated with gestational diabetes.

B. Reduction in retinopathy risk by frequent ophthalmologic evaluations:

Diabetic retinopathy is a complication of diabetes that affects the eyes and can lead to vision impairment or blindness if left untreated. While regular ophthalmologic evaluations are crucial for individuals with diabetes to monitor for retinopathy and other eye complications, this factor is not the most important in reducing complications associated with pregnancy and diabetes. Gestational diabetes primarily affects pregnancy outcomes, and while retinopathy risk is a concern in the long term for individuals with diabetes, it is not the primary focus during pregnancy.

C. Control of blood urea nitrogen (BUN) levels for optimal kidney function:

Blood urea nitrogen (BUN) levels are markers of kidney function, and kidney complications can be a concern in individuals with diabetes, including gestational diabetes. However, during pregnancy, the focus is primarily on controlling blood glucose levels to reduce complications associated with gestational diabetes. While kidney function is important and should be monitored in pregnant women with gestational diabetes, it is not the most crucial factor in reducing complications specifically related to pregnancy and diabetes.

D. Degree of blood glucose control achieved during the pregnancy:

This is the most important factor in reducing complications associated with pregnancy and gestational diabetes. Controlling blood glucose levels is paramount in managing gestational diabetes to reduce the risk of complications for both the mother and the baby. Tight glycemic control helps to minimize the risk of adverse outcomes such as macrosomia, birth trauma, preterm birth, and other complications associated with uncontrolled blood sugar levels during pregnancy.

A. disseminated intravascular coagulation (DIC) B. elevated platelet count C. elevated liver enzymes D. hyperglycemia

Correct Answer is C

Explanation

A. Disseminated intravascular coagulation (DIC):

DIC is a serious condition characterized by abnormal clotting throughout the body's blood vessels, leading to both bleeding and clotting simultaneously. While it can occur in severe cases of HELLP syndrome, it is not a specific finding used to diagnose HELLP syndrome. Instead, it's a complication that can develop due to various underlying conditions, including HELLP syndrome.

B. Elevated platelet count:

In HELLP syndrome, platelet count is typically decreased, not elevated. HELLP syndrome stands for Hemolysis, Elevated Liver enzymes, and Low Platelets. The low platelet count is a key diagnostic feature of HELLP syndrome and contributes to the risk of bleeding complications.

C. Elevated liver enzymes:

Elevated liver enzymes, particularly elevated levels of AST (aspartate aminotransferase) and ALT (alanine aminotransferase), are hallmark features of HELLP syndrome. Liver involvement is a significant component of this syndrome, and elevated liver enzymes are part of the diagnostic criteria.

D. Hyperglycemia:

While hyperglycemia can occur in various conditions, it is not a characteristic finding of HELLP syndrome. HELLP syndrome primarily affects the liver, blood clotting factors, and platelets, leading to features such as elevated liver enzymes, low platelet count, and hemolysis (destruction of red blood cells).

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A sexual health public health nurse is presenting information on sexually transmitted infections (STIs) to adolescent girls and is asked, "Why are females more at risk for STIS?" Which statements by the nurse would best answer this question? Select all that apply.

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is conducting a program for pregnant women with gestational diabetes about reducing complications. The nurse determines that the teaching was successful when the group identifies which factor as being most important in helping to reduce complications associated with pregnancy and diabetes?

Correct Answer is D

Explanation

A nurse suspects that a client is developing HELLP syndrome. The nurse notifies the health care provider based on which finding?

Correct Answer is C

Explanation

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