A woman is scheduled for diagnostic testing to evaluate for endometrial cancer.
Which procedure should the nurse prepare the woman for?

Choice A rationale
Trichomoniasis is a sexually transmitted infection that can cause a frothy, yellow-green vaginal discharge. Other symptoms can include genital itching, burning during urination, and a strong fish-like odor, especially after sex.

Choice B rationale
Bacterial vaginosis is a common vaginal infection that can cause a thin, white or gray vaginal discharge with a fishy smell. However, the discharge is typically not described as frothy or yellow-green.
Choice C rationale
Chlamydia is a sexually transmitted infection that can cause a variety of symptoms, but a frothy, yellow-green discharge is not typically one of them. Symptoms of chlamydia in women can include abnormal vaginal discharge, but it is often described as mucopurulent (resembling mucus or pus) rather than frothy.
Choice D rationale
Gonorrhea is a sexually transmitted infection that can cause a variety of symptoms, but a frothy, yellow-green discharge is not typically one of them. Women with gonorrhea may experience increased vaginal discharge, but it is often described as thin and watery or thick and purulent, not frothy.

Choice A rationale
Unlabored irregular respirations are not typically associated with respiratory distress in a neonate. In fact, newborns naturally have irregular breathing patterns, which can range from fast and shallow to slow and deep.
Choice B rationale
Grunting is a common symptom of respiratory distress in neonates. This is an involuntary noise that a baby makes when exhaling. It’s the baby’s attempt to keep air in the lungs to help them stay open and filled with air.
Choice C rationale
While apneic periods (pauses in breathing) can occur in neonates, a 5-second pause is within the normal range. Apnea of concern in neonates, particularly those with respiratory distress, is usually defined as cessation of breathing for 20 seconds or longer, or a shorter pause if it is accompanied by a slow heart rate or low oxygen levels.
Choice D rationale
Nasal flaring, where the nostrils spread open during breathing, is another common sign of respiratory distress in neonates. It’s an indication that the baby is having to work harder to breathe.
Choice E rationale
Use of accessory muscles is a sign of respiratory distress in neonates. This means the baby is using additional muscles (other than the diaphragm and chest muscles) to breathe. This can be seen as indrawing or retractions, where the skin pulls in between the ribs or the neck sinks in with each breath.