During an initial examination in the labor room, the nurse notes a large amount of yellow-green or gray frothy and bubbly discharge around the vaginal walls with a foul smell.
The nurse suspects the woman has which type of sexually transmitted infection?
Gonorrhea.
Trichomoniasis.
Chlamydia.
Syphilis.
The Correct Answer is B
Choice A rationale
Gonorrhea typically presents with a purulent, often thick, yellow discharge. While it can have a foul odor, the description of frothy and bubbly is less characteristic of gonorrhea. Diagnosis usually involves a cervical culture or nucleic acid amplification testing (NAAT).
Choice B rationale
Trichomoniasis, caused by the protozoan *Trichomonas vaginalis*, is characteristically associated with a large amount of yellow-green or gray, frothy, and bubbly vaginal discharge with a distinct, often foul or fishy odor. Microscopic examination of the discharge reveals the motile trichomonads for definitive diagnosis.
Choice C rationale
Chlamydia often presents with a thin or mucopurulent discharge, which may be yellowish, but it is not typically described as frothy or bubbly. Many women with chlamydia are asymptomatic. Diagnosis is usually made through NAAT of cervical or urine samples.
Choice D rationale
Syphilis in its primary stage presents with a painless chancre. Secondary syphilis can involve a generalized rash and flu-like symptoms. Vaginal discharge is not a primary characteristic of either the primary or secondary stages of syphilis. Diagnosis involves serological testing.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is C
Explanation
Choice A rationale
Hyperemesis gravidarum is severe nausea and vomiting during pregnancy, typically occurring in the first trimester. While amniocentesis can cause some discomfort, it is not a known risk factor for hyperemesis.
Choice B rationale
Proteinuria is the presence of protein in the urine, which can be a sign of preeclampsia, a condition that can occur later in pregnancy. Amniocentesis, usually performed in the second trimester, is not directly linked to causing proteinuria.
Choice C rationale
Amniocentesis is an invasive procedure that involves inserting a needle through the abdominal wall and uterus to withdraw amniotic fluid. This procedure carries a risk of bleeding or hemorrhage from the insertion site or within the uterus. Therefore, observing for signs of hemorrhage is a crucial nursing intervention post-amniocentesis.
Choice D rationale
Hypoxia is a condition of insufficient oxygen supply to the tissues. While complications of amniocentesis could indirectly lead to fetal hypoxia in rare cases (e.g., placental abruption), it is not a direct and common complication to observe for in the mother. Hemorrhage is a more immediate and direct risk for the mother. .
Correct Answer is B
Explanation
Choice A rationale
Reducing fluid intake will not alleviate breast engorgement and may even be detrimental to milk production and overall maternal hydration. Engorgement is caused by increased blood flow and milk production in the breasts, not excess fluid intake.
Choice B rationale
Frequent breastfeeding, ideally every 1-2 hours, helps to remove milk from the breasts, which relieves pressure and engorgement. Regular emptying of the breasts signals the body to regulate milk production and prevents the buildup of milk that causes discomfort and can lead to complications like mastitis.
Choice C rationale
Avoiding the use of a breast pump when breasts are engorged can worsen the condition. A breast pump can be used to express milk and relieve pressure if the infant is not feeding effectively or frequently enough. Complete milk removal is key to reducing engorgement.
Choice D rationale
Skipping feedings will exacerbate breast engorgement as milk will continue to accumulate in the breasts, increasing pressure, pain, and the risk of complications. Regular milk removal is essential for managing engorgement and establishing a healthy breastfeeding pattern.
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