A nurse is caring for a client.
During the physical examination, the nurse observes small pinpoint open vesicles and pustules on the labia majora with clear drainage noted.
A thick, mucopurulent vaginal discharge is noted on the client’s perineal pad.
After reviewing the information in the client’s medical record, which of the following provider prescriptions should the nurse anticipate?

Choice A rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate A. Anticipate A might be expected for a different set of symptoms or conditions.

Choice B rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate B. Anticipate B might be expected for a different set of symptoms or conditions.

Choice C rationale

The symptoms described by the client do not typically align with conditions that would lead to Anticipate C. Anticipate C might be expected for a different set of symptoms or conditions.

Choice D rationale

The client’s symptoms of recent painful sores on the perineum, muscle aches, and chills, along with current discomfort when sitting and mild vaginal itching, could suggest a herpes simplex virus infection or another type of infection. Anticipate D might be an antiviral medication or other treatment to address the suspected condition.

Choice A rationale

Feeling the baby move, also known as quickening, is a presumptive sign of pregnancy. Presumptive signs are those that suggest a woman could be pregnant, but they’re not definitive. Quickening is often described as a fluttering sensation and is usually felt between 16 and 25 weeks of gestation.

Choice B rationale

Positive signs of pregnancy are those that can only be explained by pregnancy. These include hearing the baby’s heartbeat, visualizing the fetus on ultrasound, and feeling the baby move by a healthcare provider.

Choice C rationale

Probable signs of pregnancy are those that are strongly suggestive of pregnancy but could be caused by other conditions. These include changes in the uterus, changes in the cervix, and positive pregnancy tests.

Choice D rationale

There is no classification of “possible” signs of pregnancy in medical terminology.