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

Choice A rationale:

Lubricants and moisturizers are commonly used for symptom relief in atrophic vaginitis (AV), but this choice does not reflect an understanding of hormonal therapy, which is the treatment plan specified.

Choice B rationale:

Avoiding irritants or allergens is important for overall vaginal health, but it does not specifically indicate comprehension of hormonal therapy for AV.

Choice C rationale:

This choice demonstrates understanding of potential side effects and complications associated with hormonal therapy, such as abnormal bleeding and breast changes. Monitoring for such changes is vital.

Choice D rationale:

The mention of completing a course of oral antibiotics is unrelated to the treatment plan for atrophic vaginitis, which involves hormonal therapy.

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.