A nurse is assessing clients with vulvovaginitis. Which type of vulvovaginitis can be transmitted from mother to child during delivery?

Choice A rationale:

Anaerobic bacteria are not responsible for the described symptoms. They typically cause foul-smelling discharge with a different consistency.

Choice B rationale:

Fungi, such as Candida species, commonly cause vaginal candidiasis, which presents with thick, white, cottage cheese-like discharge. This matches the client's symptoms.

Choice C rationale:

Protozoa, like Trichomonas vaginalis, usually lead to a frothy, greenish-yellow discharge with a foul odor, which doesn't align with the client's presentation.

Choice D rationale:

Low estrogen levels would not directly cause this type of discharge. They might lead to vaginal dryness and thinning of vaginal walls, but not the specific discharge described.

Choice E rationale:

Human papillomavirus (HPV) doesn't typically cause the described discharge. It's associated with genital warts and cervical changes but not with this type of discharge.

Choice A rationale:

A vaginal pH less than 4.5 is within the normal acidic range and does not specifically support the suspicion of atrophic vaginitis (AV)

Choice B rationale:

Presence of motile trichomonads indicates trichomoniasis, not atrophic vaginitis (AV)

Choice C rationale:

Thin and loss of rugae (folds) of vaginal mucosa is a characteristic finding in atrophic vaginitis (AV) This condition occurs due to decreased estrogen levels, leading to thinning and drying of vaginal tissues.

Choice D rationale:

A thin, gray-white, or milky vaginal discharge is more suggestive of other infections or conditions and is not a specific sign of atrophic vaginitis (AV)