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. Alcohol:

Alcohol consumption during pregnancy can lead to a range of adverse effects on the fetus, collectively known as fetal alcohol spectrum disorders (FASDs). However, the symptoms described in the scenario—tachycardia, hypertension, and evidence suggesting vasoconstriction—are not typical of alcohol use. While alcohol can lead to hypertension in chronic heavy drinkers, it is not commonly associated with tachycardia and vasoconstriction in the same way that stimulant drugs like cocaine are.

B. Heroin:

Heroin is an opioid drug that depresses the central nervous system, leading to effects such as respiratory depression, sedation, and decreased heart rate. While heroin use during pregnancy can have serious consequences for both the mother and the fetus, including neonatal withdrawal syndrome (neonatal abstinence syndrome), it is not typically associated with tachycardia, hypertension, and vasoconstriction. Therefore, heroin is less likely to be the substance causing the symptoms described in the scenario.

C. Marijuana:

Marijuana use during pregnancy has been associated with various adverse outcomes, including low birth weight and neurodevelopmental issues in children. However, the symptoms described—tachycardia, hypertension, and evidence suggesting vasoconstriction—are not typical of marijuana use. Marijuana is more commonly associated with effects such as relaxation, increased heart rate (tachycardia), and vasodilation (not vasoconstriction). Therefore, marijuana is less likely to be the substance causing the symptoms described in the scenario.

D. Cocaine:

Cocaine is a potent stimulant drug that acts on the central nervous system and cardiovascular system, leading to effects such as tachycardia, hypertension, and vasoconstriction. These symptoms are consistent with acute cocaine intoxication. Cocaine use during pregnancy can have serious adverse effects on both the mother and the fetus, including increased risk of miscarriage, preterm labor, placental abruption, and fetal growth restriction. Therefore, given the symptoms described in the scenario, cocaine is the substance that the nurse would question the woman about.

A. stress incontinence with feeling of low abdominal pressure B. menstrual irregularities and hirsutism on the chin C. heavy leukorrhea with vulvar pruritus D. sporadic vaginal bleeding accompanied by chronic pelvic pain

Correct Answer is A

Explanation

A. Stress incontinence with feeling of low abdominal pressure.

Cystocele and rectocele repairs are often performed to address pelvic organ prolapse, which can lead to symptoms such as stress incontinence. Stress incontinence is characterized by the leakage of urine during activities that increase intra-abdominal pressure, such as coughing, sneezing, laughing, or lifting. The feeling of low abdominal pressure is consistent with the symptoms experienced by women with cystocele and rectocele, as the prolapse of pelvic organs can cause sensations of pressure or fullness in the lower abdomen.

B. Menstrual irregularities and hirsutism on the chin:

These symptoms are more indicative of hormonal imbalances, such as polycystic ovary syndrome (PCOS), which is characterized by irregular menstrual cycles, hirsutism (excessive hair growth), and other symptoms related to androgen excess. These symptoms are not typically associated with cystocele and rectocele repairs or the number of children a woman has.

C. Heavy leukorrhea with vulvar pruritus:

Leukorrhea refers to vaginal discharge, and vulvar pruritus refers to itching of the external genitalia. These symptoms are more suggestive of vaginal infections or other gynecological conditions unrelated to cystocele and rectocele repairs or the number of children a woman has.

D. Sporadic vaginal bleeding accompanied by chronic pelvic pain:

Sporadic vaginal bleeding and chronic pelvic pain may be indicative of various gynecological conditions, such as uterine fibroids, endometriosis, or cervical dysplasia. However, they are not typically associated with cystocele and rectocele repairs or the number of children a woman has.

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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

Assessment of a pregnant woman and her fetus reveals tachycardia and hypertension. There is also evidence suggesting vasoconstriction. The nurse would question the woman about use of which substance?

Correct Answer is D

Explanation

A woman is admitted for repair of cystocele and rectocele. She has nine living children. In taking her health history, what would the nurse expect to find?

Correct Answer is A

Explanation

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