A pregnant woman is diagnosed with chlamydia and asks the nurse, "How will this infection affect my baby and pregnancy?" Which responses by the nurse are accurate? (Select All that Apply.)

"Your membranes may rupture earlier than normal."

"It will not have any effect on your pregnancy."

"Your newborn can be infected during birth."

"Your newborn may have eye infections from this infection."

"Your newborn is protected from this infection."

Answer and Explanation

Correct Answer : C,D

A. "Your membranes may rupture earlier than normal." - This statement is not directly associated with chlamydia infection during pregnancy. Premature rupture of membranes (PROM) can occur due to various factors, but chlamydia infection is not a direct cause.

B. "It will not have any effect on your pregnancy." - This statement is incorrect. Chlamydia infection during pregnancy can have implications for both the mother and the baby, so it is not accurate to say it will not have any effect.

C. "Your newborn can be infected during birth." - This is an accurate statement. Chlamydia can be transmitted from the mother to the newborn during vaginal childbirth, leading to neonatal chlamydial infection.

D. "Your newborn may have eye infections from this infection." - This is also correct. Neonatal chlamydial infection can cause conjunctivitis (eye infection) in newborns if they are exposed to the bacteria during delivery.

E. "Your newborn is protected from this infection." - This statement is incorrect. Newborns are not inherently protected from chlamydial infection if the mother is infected. Without appropriate treatment and preventive measures, the newborn can contract the infection during birth.

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Correct Answer is A

Explanation

A. Candidiasis:

Candidiasis is caused by an overgrowth of the fungus Candida albicans in the vagina. It typically presents with symptoms such as thick, white vaginal discharge (resembling cottage cheese), itching, and discomfort during sexual intercourse (dyspareunia). This option is the most likely diagnosis based on the client's symptoms.

B. Genital herpes simplex:

Genital herpes simplex is caused by the herpes simplex virus (HSV). It presents with symptoms such as painful, fluid-filled blisters or sores in the genital area. While genital herpes can cause vaginal discharge, the discharge is typically clear or cloudy, not thick and white as described in the scenario.

C. Trichomoniasis:

Trichomoniasis is a sexually transmitted infection caused by the parasite Trichomonas vaginalis. It commonly presents with symptoms such as a frothy, yellow-green vaginal discharge, itching, and discomfort during urination or sexual intercourse. The discharge is typically not described as thick and white.

D. Bacterial vaginosis:

Bacterial vaginosis results from an imbalance of bacteria in the vagina, with a decrease in beneficial bacteria and an overgrowth of harmful bacteria. It presents with symptoms such as a thin, grayish-white vaginal discharge with a fishy odor. While bacterial vaginosis can cause vaginal discomfort, the discharge is not typically described as thick and white.

A. battering B. honeymoon C. tension-building D. reconciliation

Correct Answer is B

Explanation

A. Battering: This phase involves the actual violent and abusive behavior, where the perpetrator inflicts harm or abuse upon the victim. It is characterized by physical, emotional, or psychological abuse.

B. Honeymoon: The honeymoon phase follows the period of violence or abuse. During this phase, the perpetrator may apologize, show remorse, and express love and affection toward the victim. The perpetrator may also promise to change their behavior and make efforts to reconcile with the victim.

C. Tension-building: The tension-building phase is characterized by increasing tension, anger, and hostility in the relationship. Minor conflicts and stressors escalate, leading to a buildup of tension between the partners. This phase often precedes the occurrence of the violent or abusive episode.

D. Reconciliation: The reconciliation phase occurs after the violent or abusive episode, during which the perpetrator attempts to reconcile with the victim. This phase may involve apologies, promises to change, and expressions of regret. However, it is important to note that the reconciliation phase may be temporary and may cycle back into the tension-building phase, leading to another episode of violence.

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A pregnant woman is diagnosed with chlamydia and asks the nurse, "How will this infection affect my baby and pregnancy?" Which responses by the nurse are accurate? (Select All that Apply.)

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Assessment of a female client reveals a thick, white vaginal discharge. The client also reports intense itching and dyspareunia. Based on these findings, the nurse would suspect that the client has:

Correct Answer is A

Explanation

When describing an episode of intimate partner violence, the victim reports attempting to calm the partner down to keep things from escalating. The nurse interprets this behavior as reflecting which phase of the cycle of violence?

Correct Answer is B

Explanation

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