A nurse is caring for a client with candidal vulvovaginitis (CV) Which statement is an appropriate assessment finding for this client?
"I have noticed a thin, frothy, green-yellow vaginal discharge.”
"I experience intense inflammation, itching, and burning in my genital area.”
"My vaginal discharge is thick, white, and clumpy with no odor.”
"I have no discharge, and my vaginal pH is greater than 5.0.”
The Correct Answer is C
Choice A rationale:
Thin, frothy, green-yellow vaginal discharge is indicative of trichomoniasis, not candidal vulvovaginitis (CV) Trichomoniasis typically presents with a foul-smelling discharge.
Choice B rationale:
While inflammation, itching, and burning are common symptoms of CV, they do not specifically describe the characteristic discharge associated with this condition.
Choice C rationale:
Thick, white, and clumpy vaginal discharge with no odor is a classic presentation of candidal vulvovaginitis (CV) The discharge is often described as resembling cottage cheese.
Choice D rationale:
A vaginal pH greater than 5.0 is suggestive of bacterial vaginosis, not candidal vulvovaginitis. In CV, the vaginal pH is usually normal (around 4-4.5)
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Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is primarily associated with endogenous transmission, meaning it is caused by an overgrowth of normally occurring vaginal bacteria rather than being directly transmitted from another individual.
Choice B rationale:
While sexual transmission can play a role in the development of BV, it is not the primary mode of transmission for this condition.
Choice C rationale:
Vector transmission involves the transfer of pathogens by a vector such as a mosquito or tick and is not relevant to bacterial vaginosis.
Choice D rationale:
Contact transmission typically involves direct physical contact with an infected person or contaminated object, which is not the main mode of transmission for BV.
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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