A nurse is caring for a client who is at 20 weeks of gestation and has trichomoniasis. Which of the following findings should the nurse expect?

Explanation

Choice A Reason:

Vulva lesions are not typically associated with trichomoniasis. Trichomoniasis primarily affects the vagina and cervix rather than the vulva.

Choice B Reason:

Malodorous discharge is a common symptom of trichomoniasis. The discharge may have a strong, unpleasant odor.

Choice C Reason:

Urinary frequency is not a typical symptom of trichomoniasis. However, some individuals may experience mild urinary symptoms such as burning or discomfort during urination.

Choice D Reason:

Thick, white vaginal discharge is more indicative of a yeast infection (such as candidiasis) rather than trichomoniasis. Trichomoniasis typically presents with a frothy, yellow-green, or gray vaginal discharge.

Explanation

Choice A Reason:

"When was the last time you ate meat?" This question is not relevant for a client who adheres to a vegan diet, as they abstain from consuming meat or animal products.

Choice B Reason:

"How much protein do you eat in a day?" Assessing the client's protein intake is essential because protein is a critical component of a healthy diet, especially during pregnancy. Since the client adheres to a vegan diet, obtaining an understanding of their protein intake is particularly important, as plant-based protein sources may require more careful planning to ensure adequate intake. Adequate protein intake is vital for supporting maternal tissue growth, blood volume expansion, and fetal development.

Choice C Reason:

"Are you taking a Vitamin C supplement?" While vitamin C is important, especially for individuals following a vegan diet to aid in the absorption of non-heme iron from plant-based sources, it may not be the primary concern when assessing overall dietary intake. Additionally, vitamin C supplementation may not be necessary if the client consumes a varied diet rich in fruits and vegetables.

Choice D Reason:

"Have you considered eating shellfish?" This question is not appropriate for a client who adheres to a vegan diet, as shellfish are animal products and are not consumed in a vegan diet. Instead, the focus should be on assessing the client's intake of plant-based protein sources.