A client presents with a thin, frothy, green-yellow vaginal discharge with a foul musty odor. Which condition is most likely to be the cause?
Bacterial vaginosis (BV)
Candidal vulvovaginitis (CV)
Trichomonas vaginalis (TV)
Atrophic vaginitis (AV)
The Correct Answer is C
Choice A rationale:
Bacterial vaginosis (BV) typically presents with a thin gray or white discharge and is associated with a fishy odor. It is not known for a green-yellow discharge.
Choice B rationale:
Candidal vulvovaginitis (CV) often presents with a white, thick, cottage cheese-like discharge, not a green-yellow discharge.
Choice C rationale:
Trichomonas vaginalis (TV) infection can result in a thin, frothy, green-yellow vaginal discharge with a foul musty odor. This infection is sexually transmitted and may also cause itching and irritation.
Choice D rationale:
Atrophic vaginitis (AV) is not associated with a frothy, green-yellow discharge but rather with symptoms related to estrogen deficiency and vaginal thinning.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is not commonly transmitted from mother to child during delivery. It is primarily associated with an imbalance in vaginal bacteria.
Choice B rationale:
Candidal vulvovaginitis (CV), caused by the fungus Candida, can be transmitted from mother to child during delivery as the baby passes through the birth canal.
Choice C rationale:
Trichomonas vaginalis (TV) can also be transmitted from mother to child during delivery, but CV is a more common cause of transmission.
Choice D rationale:
Atrophic vaginitis (AV) is not typically transmitted from mother to child during delivery. It is often associated with hormonal changes during menopause.
Choice E rationale:
This option acknowledges other types of vulvovaginitis with various modes of transmission, but the specific question asks about transmission from mother to child during delivery. CV is the most appropriate choice in this context.
Correct Answer is E
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is primarily caused by an imbalance in the vaginal microbiota and is not known for multiple modes of transmission.
Choice B rationale:
Candidal vulvovaginitis (CV) is commonly caused by Candida fungi and is not known for having various modes of transmission.
Choice C rationale:
Trichomonas vaginalis (TV) is primarily transmitted sexually and is not typically associated with contact or vector transmission.
Choice D rationale:
Atrophic vaginitis (AV) is related to hormonal changes and is not transmitted through sexual or contact modes.
Choice E rationale:
Other types of vulvovaginitis, such as certain viral or bacterial infections, could have various modes of transmission, including sexual, contact, or vector transmission. It is important to consider these possibilities when educating clients about modes of transmission.
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