A 23-year-old college student has come to see the Nurse Practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva. The vaginal discharge is a greenish and strong fishy odor. With which STI are these findings consistent?
Select one:
Select one:
Bacterial vaginosis
Trichomoniasis
Chlamydia
Candidiasis
The Correct Answer is B
a. Bacterial vaginosis may present with a vaginal discharge that is often grayish-white with a fishy odor, but it does not typically cause inflammation of the vulva.
b. Trichomoniasis can cause inflammation of the vagina and vulva, along with a frothy, greenish-yellow discharge with a strong fishy odor.
c. Chlamydia may cause vaginal discharge but typically does not present with a strong fishy odor.
d. Candidiasis (yeast infection) may cause inflammation and itching of the vulva, but the discharge is typically white, thick, and cottage cheese-like, not greenish with a fishy odor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
a. This would help determine the location of the placenta and whether placenta previa is present, which can cause painless vaginal bleeding.
b. This is not typically done for diagnosis of painless vaginal bleeding.
c. While an abdominal ultrasound can also determine the location of the placenta, a vaginal ultrasound is more accurate for this purpose.
d. This is not typically done for diagnosis of painless vaginal bleeding.
Correct Answer is E
Explanation
a. Inevitable abortion is characterized by vaginal bleeding, cramping, and dilated cervical os.
b. Septic abortion is associated with infection and may present with fever, chills, and foul-smelling vaginal discharge.
c. Incomplete abortion involves vaginal bleeding, cramping, and dilation of the cervical os with passage of some products of conception.
d. A missed abortion is when there is no bleeding or cramping, but the pregnancy has stopped developing and there is no fetal heartbeat. The cervix may be closed or slightly open, and the uterus may be smaller than expected for gestational age.
e. Threatened abortion involves vaginal bleeding with a closed cervical os and no passage of products of conception. It signifies a potential abortion, but the pregnancy may continue.
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