This is a descriptive-exploratory study of a qualitative nature, which aimed to know the steps taken by the Family Health Strategy nurses concerning cases of syphilis during pregnancy. A total of 16 nurses who work in Barbalha, a municipality in the state of Ceara, Brazil, provided the necessary data by means of a semi-structured interview. Data organization was performed using the Collective Subject Discourse (CSD), and the analysis of results was conducted based on the available literature on the theme. From what could be observed, only one the participants had followed up a syphilis case during pregnancy. They, however, mentioned the performance of educational activities, the major actions to be taken after the diagnosis, and the difficulties they might come across during the treatment. The conclusion was that due to data scarcity in the literature, further studies on this theme should be conducted so that health care management can be improved.