A nurse is educating a patient about preventing bacterial vaginosis (BV) Which of the following strategies should the nurse recommend to the patient? (Select all that apply)
Avoiding douching.
Using condoms or other barrier methods during sexual intercourse.
Limiting sexual partners.
Treating underlying conditions, such as diabetes mellitus.
Using hormonal therapy as prescribed.
Correct Answer : A,B,C,D
Choice A rationale:
Avoiding douching is recommended to prevent bacterial vaginosis (BV) as douching can disrupt the natural vaginal flora and increase the risk of BV.
Choice B rationale:
Using condoms or other barrier methods during sexual intercourse helps reduce the risk of BV transmission, as it prevents the introduction of potentially harmful bacteria into the vagina.
Choice C rationale:
Limiting sexual partners can lower the risk of BV, as having multiple sexual partners may increase the likelihood of exposure to different bacteria that can disrupt the vaginal flora.
Choice D rationale:
Treating underlying conditions, such as diabetes mellitus, is important because uncontrolled diabetes can create an environment conducive to BV development due to elevated glucose levels.
Choice E rationale:
Using hormonal therapy as prescribed is not directly related to preventing BV. Hormonal therapy typically pertains to conditions like hormone replacement therapy and is not a preventive measure for BV.
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Related Questions
Correct Answer is C
Explanation
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)
Correct Answer is D
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is not related to hormonal changes but rather an overgrowth of bacteria causing an imbalance in the vaginal ecosystem.
Choice B rationale:
Candidal vulvovaginitis (CV) is a fungal infection and is not primarily caused by hormonal changes.
Choice C rationale:
Trichomonas vaginalis (TV) is a sexually transmitted infection and is not directly linked to hormonal changes.
Choice D rationale:
Atrophic vaginitis (AV) occurs due to hormonal changes, specifically a decrease in estrogen levels that can lead to thinning and inflammation of vaginal tissues. Estrogen deficiency commonly occurs during menopause or aging, leading to symptoms like vaginal dryness and discomfort.
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