What symptom would a nurse anticipate in a patient diagnosed with bacterial vaginosis?
Vaginal pH of 3.
Fish-like odor of discharge.
Yellowish-green discharge.
Cervical bleeding upon contact.
The Correct Answer is B
Choice A rationale
A vaginal pH of 3 is not a symptom of bacterial vaginosis. In fact, a higher vaginal pH (greater than 4.5) is more commonly associated with bacterial vaginosis.
Choice B rationale
A fish-like odor of discharge is a common symptom of bacterial vaginosis. This odor may become stronger after sexual intercourse.
Choice C rationale
Yellowish-green discharge is not typically associated with bacterial vaginosis. The discharge associated with bacterial vaginosis is usually thin and gray or white.
Choice D rationale
Cervical bleeding upon contact is not a common symptom of bacterial vaginosis. The most common symptoms are a fish-like odor and a thin, gray or white discharge.
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Related Questions
Correct Answer is D
Explanation
Choice A rationale
Kernicterus is a rare type of brain damage that occurs in a newborn with severe jaundice. It happens when a substance in the blood, bilirubin, builds up to very high levels and spreads into the brain tissues. This condition can cause athetoid cerebral palsy and hearing loss. Kernicterus also causes problems with vision and teeth and sometimes can cause intellectual disabilities. However, the symptoms provided do not align with this condition.
Choice B rationale
A severe cardiac anomaly could cause heart failure and respiratory distress, but it would not explain the positive Coomb’s test, high bilirubin levels, severe anemia, jaundice, and generalized edema.
Choice C rationale
Respiratory distress syndrome (RDS) is a common problem in premature babies. It causes babies to need extra oxygen and help with breathing. RDS occurs most often in babies born before the 28th week of pregnancy and can be a problem for babies born before 37 weeks of pregnancy. It’s caused by a lack of a slippery substance called surfactant, which helps the lungs inflate with air and keeps them from collapsing. However, the symptoms provided do not align with this condition.
Choice D rationale
Hydrops fetalis is a severe, life-threatening problem of severe edema (swelling) in the fetus and newborn. It is also called hydrops. There are two types of hydrops fetalis: immune and nonimmune. Immune hydrops fetalis is a complication of a severe form of Rh incompatibility, which can be prevented. Nonimmune hydrops fetalis occurs as a result of other diseases, such as infections, heart or lung defects, liver disease, or genetic disorders, which aligns with the symptoms provided.
Correct Answer is B
Explanation
Choice A rationale
CA-125 testing is a blood test used to monitor certain types of cancer, including ovarian cancer. However, it is not the primary diagnostic test for endometrial cancer.
Choice B rationale
Transvaginal ultrasound is often one of the first tests used to look at the uterus in women with possible gynecologic problems. It provides images of the uterus and can help doctors look for signs of endometrial cancer.
Choice C rationale
A Papanicolaou test, also known as a Pap smear, is used to detect cervical cancer. While it’s an important part of women’s health screening, it’s not the primary test used to diagnose endometrial cancer.
Choice D rationale
Mammography is a specific type of imaging that uses a low-dose x-ray system to see inside the breasts. It is used to aid in the early detection and diagnosis of breast diseases in women. It is not used for diagnosing endometrial cancer.
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