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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
Choice A rationale
Informing the obstetrician is important, but it is not the first action to take. The nurse should first try to address the issue at hand, which is a displaced and boggy uterus.
Choice B rationale
Straight catheterization of the patient could be necessary if the patient is unable to void. However, the first step should be to ask the patient to void.
Choice C rationale
Preparing the patient for manual removal of uterine clots is a more invasive procedure that should be considered if other measures, such as asking the patient to void or massaging the fundus, are not effective.
Choice D rationale
A full bladder can displace the uterus and prevent it from contracting properly. Asking the patient to void can help the uterus contract and reduce bleeding.
Correct Answer is A
Explanation
Choice A is correct. The square window angle, formed by the intersection of the ear and the jawline, is an important physical assessment finding in neonates. In full-term babies, this angle is typically greater than 90 degrees, appearing more rounded. However, in preterm babies, the angle is often closer to 90 degrees, appearing more square due to underdeveloped facial features and subcutaneous tissue.
Choice B is incorrect. While leathery and cracked skin can be present in both term and preterm babies, it's not a specific indicator of prematurity alone. It can be caused by various factors like intrauterine growth restriction, dehydration, or underlying skin conditions.
Choice C is incorrect. The popliteal angle, formed by flexing the knee and measuring the angle between the thigh and lower leg, is not a reliable indicator of prematurity. It can vary even among term babies and is influenced by other factors like muscle tone and positioning.
Choice D is incorrect. Pronounced plantar creases, the lines on the soles of the feet, are also not specific to prematurity. While they may be deeper in some preterm babies, they can also be present in full-term infants and their depth can vary greatly between individuals.
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