A nurse is assessing a client with vulvovaginitis who complains of a fishy odor. Which statement by the nurse is appropriate?
"This odor is caused by the overgrowth of lactobacilli.”
"The fishy odor is due to a viral infection.”
"The fishy odor indicates the presence of protozoa.”
"The odor is a result of allergic reaction to douches.”
The Correct Answer is A
Choice A rationale:
Lactobacilli overgrowth can lead to a fishy odor, particularly in bacterial vaginosis (BV) The overgrowth disrupts the normal vaginal pH.
Choice B rationale:
A viral infection wouldn't cause a fishy odor. Viruses like human papillomavirus (HPV) might cause genital warts but not this specific odor.
Choice C rationale:
Protozoa, such as Trichomonas vaginalis, cause a distinct odor, but it's not typically described as fishy.
Choice D rationale:
Allergic reactions to douches might cause irritation, itching, or redness, but they wouldn't lead to a fishy odor.
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale:
Abstaining from sexual contact until both partners are treated and cured is an appropriate measure to prevent re-infection and transmission of trichomoniasis vaginitis (TV)
Choice B rationale:
Avoiding alcohol consumption during treatment with metronidazole is necessary, as alcohol can interact with this medication and cause adverse reactions.
Choice C rationale:
Using condoms or other barrier methods during sexual intercourse can prevent transmission of TV and is an accurate statement.
Choice D rationale:
Continuing hormonal therapy despite experiencing abnormal bleeding is concerning, as it may indicate an adverse reaction or need for further evaluation. This statement highlights a need for further teaching.
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.
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