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? Standard Text: 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 infant will require intrauterine management for the condition.
2,3
Rationale 1: The client will be treated with IV antibiotic therapy during the prenatal period. The client will be managed with oral antibiotic therapy at the time of diagnosis.
Rationale 2: The sexual partners of the client will require notification and testing. 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.
Rationale 3: The client will begin antibiotic therapy at this time. 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.
Rationale 4: The client will begin antibiotic therapy after birth of the baby. 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.
Rationale 5: The infant will require intrauterine management for the condition. Infants born with syphilis will be treated. Therapies are not indicated for the fetus.
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