Assessment of a female client reveals a frothy, yellow-green vaginal discharge.
Based on these findings, the nurse would suspect that the client has:
Trichomoniasis
Bacterial vaginosis
Chlamydia
Gonorrhea
The Correct Answer is A
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Premature rupture of membranes is a condition that can occur during pregnancy, but it is not directly linked to uterine atony or heavy lochia after delivery.
Choice B rationale
Delivery of an intact placenta within 30 minutes of the birth of the infant is a normal occurrence and would not contribute to uterine atony or heavy lochia.
Choice C rationale
Multigravida status, or having been pregnant more than once, can contribute to uterine atony. The uterus may not contract effectively after multiple pregnancies, leading to heavy lochia.
Choice D rationale
While a history of sexually transmitted infections can impact overall reproductive health, it is not directly linked to uterine atony or heavy lochia after delivery.
Correct Answer is A
Explanation
Choice A rationale
If a patient in active labor has a recent outbreak of genital herpes with verified lesions on the perineum, the nurse should prepare the patient for a cesarean delivery. This is to prevent transmission of the herpes virus to the baby during delivery.
Choice B rationale
While taking a culture of the lesions could help verify the involved organism, it would not change the immediate plan of care for this patient. The presence of active lesions necessitates a cesarean delivery regardless of the specific strain of the virus.
Choice C rationale
Asking the patient if she has had unprotected sex since her outbreak would not directly impact the plan of care in this situation. The primary concern is preventing transmission of the virus to the baby during delivery.
Choice D rationale
Using internal electronic fetal surveillance to determine a baseline fetal heart rate is generally avoided in patients with active genital herpes lesions, as this could potentially increase the risk of transmitting the virus to the baby.
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