A nurse in a gynecology office is caring for a client.

The client reports vaginal itching and discharge in the last week.

Based on the information found in the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

Have the client douche every morning and night.

Instruct the client to avoid alcohol for 72 hr after treatment.

Perform an oatmeal sitz bath

Administer metronidazole 2 g POx dose.

Recommend the client’s partner receive treatment.

Answer and Explanation

The Correct Answer is D

Choice A rationale
Douching is not recommended as it can disrupt the normal balance of bacteria in the vagina and can lead to infections. Therefore, it is unlikely that a healthcare provider would prescribe this as a treatment for vaginal itching and discharge.
Choice B rationale
While avoiding alcohol for 72 hours after treatment is a common instruction when taking certain medications, it does not address the client’s symptoms of vaginal itching and discharge.
Choice C rationale
An oatmeal sitz bath can help soothe irritated skin, but it does not treat the underlying cause of vaginal itching and discharge.
Choice D rationale
Metronidazole is an antibiotic that is commonly used to treat bacterial vaginosis, a condition that can cause vaginal itching and discharge. Therefore, it is likely that the healthcare provider would prescribe this medication.
Choice E rationale
While it is important for sexual partners to be treated if a sexually transmitted infection is diagnosed, the client’s symptoms and medical record information provided do not indicate a sexually transmitted infection. Therefore, this choice is not the most appropriate.

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Correct Answer is B

Explanation

Choice A rationale
Choosing a different time frame each day to count movements is not the most effective method for observing fetal movements. Consistency in timing allows for more accurate tracking and comparison of fetal activity.
Choice B rationale
Counting fetal movements for 1 hour at the same time each day is a common method used in fetal movement counting, also known as kick counting. This method allows for consistent tracking and comparison of fetal activity from day to day.
Choice C rationale
While it’s important to report decreased fetal movement, not feeling movement for any half-hour period is not necessarily a cause for concern. Fetal activity can vary throughout the day, and there may be periods of rest.
Choice D rationale
Counting only movements that are strong enough to hurt is not a recommended method for observing fetal movements. All movements, not just the strong ones, should be counted.

A. Positive pregnancy test. B. Cervical softening. C. Amenorrhea. D. Vagina appearing violet in color.

Correct Answer is C

Explanation

Choice A rationale
A positive pregnancy test is a probable sign of pregnancy, not a presumptive one. Probable signs are observed by the healthcare provider and are strongly suggestive of pregnancy but could be caused by other conditions.
Choice B rationale
Cervical softening, also known as Goodell’s sign, is a probable sign of pregnancy that occurs around the 6-8th week of gestation. It is observed by the healthcare provider during a physical examination.
Choice C rationale
Amenorrhea, or the absence of menstruation, is a presumptive sign of pregnancy. Presumptive signs are those experienced by the woman, such as amenorrhea, fatigue, and increased urination. However, these signs are not definitive proof of pregnancy as they could be caused by other conditions.
Choice D rationale
A violet coloration of the vagina, known as Chadwick’s sign, is a probable sign of pregnancy that occurs around the 4th week of gestation due to increased blood flow. It is observed by the healthcare provider during a physical examination.

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A nurse in a gynecology office is caring for a client. The client reports vaginal itching and discharge in the last week. Based on the information found in the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A pregnant woman is asked to observe fetal movements as a fetal assessment technique. The nurse would instruct her to:

Correct Answer is B

Explanation

A patient makes an appointment at the prenatal clinic because she believes she might be pregnant. Which assessment should the nurse identify as a presumptive sign of pregnancy?

Correct Answer is C

Explanation

If a woman is 3 months pregnant, which of the following findings related to breast changes would you expect to assess?

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A nurse in a gynecology office is caring for a client.

The client reports vaginal itching and discharge in the last week.

Based on the information found in the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?