Page 696 - Saunders Comprehensive Review For NCLEX-RN

repeated during the third trimester in
high-risk clients.
b. Instruct the client that treatment of her
partner is necessary if infection is
present.
c. Complications are similar to those of
chlamydia.
D. Condyloma acuminatum (human papillomavirus)
1. Description
a. Condyloma acuminatum is caused by
human papillomavirus.
b. Infection affects the cervix, urethra,
anus, penis, and scrotum.
c. Human papillomavirus is transmitted
through sexual contact.
2. Assessment
a. Infection produces small to large wart-
like growths on the genitals.
b. Cervical cell changes may be noted
because human papillomavirus is
associated with cervical malignancies.
3. Interventions
a. Lesions are removed by the use of
cytotoxic agents, cryotherapy,
electrocautery, and laser, but this is
done for symptomatic relief only and
is usually delayed until after birth. The
genital warts often regress after
delivery, and treatment outcomes may
be poor until after delivery.
b. Encourage annual Papanicolaou test.
c. Sexual contact should be avoided until
lesions are healed (condoms reduce
transmission).
d. Cesarean delivery is indicated only if
genital warts are obstructing the pelvic
outlet or if vaginal delivery would
result in excessive bleeding.
E. Trichomoniasis
1. Description
a. Trichomoniasis is caused by
Trichomonas vaginalis and is
transmitted via sexual contact.
b. A normal saline wet smear of vaginal
secretions indicates the presence of
protozoa.
c. Infection is associated with premature
rupture of the membranes and

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