A client at 15 weeks' gestation has just been advised she has tested positive for syphilis. The client is tearful and inquires about the risk to her infant. Which of the elements will be included in the management of the condition? Select all that apply
1. The client will be treated with IV antibiotic therapy during the prenatal period.
2. The sexual partners of the client will require notification and testing.
3. The client will begin antibiotic therapy at this time.
4. The client will begin antibiotic therapy after birth of the baby.
5. The fetus will require intrauterine management for the condition.
Correct Answer: 2, 3
The client will begin treatment at the time of diagnosis. Allowing the client to wait until after the birth of the baby would prolong exposure to the pathogen. The condition will be managed with oral antibiotic therapy. Syphilis is a communicable disease. It is the legal responsibility of the healthcare facility to perform the appropriate reporting. The sexual partners of the client must be notified, tested, and treated if indicated. IV antibiotic therapy is not indicated. Infants who are infected with syphilis will be treated after birth. Therapies are not indicated for the fetus.
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