A nurse in a gynecology office is caring for a client.
The physical examination reveals inflamed labia majora and minora and a large amount of frothy, yellow-green, malodorous discharge.
Based on the client’s medical record, which of the following prescriptions should the nurse anticipate receiving from the provider?

Choice A rationale

Urinary frequency is a common early symptom of pregnancy. It’s caused by an increase of the hormones progesterone and human chorionic gonadotropin (hCG). The urges tend to reduce in the second trimester. Most women find they have to pee with even more frequency late in pregnancy, from about week 35 on. Near the end of the third trimester, when your baby is preparing for childbirth, the head “drops” down into the pelvis and presses squarely on your bladder — which means you’ll have that gotta-go urge more than ever.

Choice B rationale

While it’s true that urinary frequency can reduce after the first trimester, it’s not accurate to say that it only lasts until the 12th week for most cases. It’s also not entirely dependent on bladder tone. The frequency of urination during pregnancy is primarily due to hormonal changes and the growing uterus putting pressure on the bladder.

Choice C rationale

Although the duration of urinary frequency can vary among individuals, it’s not accurate to say that there’s no way to predict how long it will last in each individual client. Generally, urinary frequency is common during the first trimester and tends to reduce in the second trimester, only to increase again around week 352.

Choice D rationale

Labeling urinary frequency as a “minor inconvenience” that should be ignored is not an appropriate response. It’s important to validate the client’s experiences and provide accurate information. Urinary frequency is a normal part of pregnancy due to increased hormones and pressure on the bladder from the growing uterus.

Choice A rationale

While follow-up testing is important for individuals diagnosed with chlamydia, retesting is typically recommended 3 months after treatment, not 6 months.

Choice B rationale

This is the correct statement. Chlamydia is treated with antibiotics, and a single dose of azithromycin is one of the recommended treatments.

Choice C rationale

This statement is incorrect. Even if a sexual partner of a person diagnosed with chlamydia has no symptoms, they still need to be tested and treated if necessary. Chlamydia can be asymptomatic, and untreated chlamydia can lead to serious health problems.

Choice D rationale

While abstaining from sexual relations until treatment is complete is recommended, it is not the only necessary step. The client’s sexual partners also need to be informed, tested, and treated if necessary.