A 23-year-old college student has come to see the Nurse Practitioner for treatment of a vaginal infection. Physical assessment reveals inflammation of the vagina and vulva. The vaginal discharge is a greenish and strong fishy odor. With which STI are these findings consistent?
Select one:
Select one:
Bacterial vaginosis
Trichomoniasis
Chlamydia
Candidiasis
The Correct Answer is B
a. Bacterial vaginosis may present with a vaginal discharge that is often grayish-white with a fishy odor, but it does not typically cause inflammation of the vulva.
b. Trichomoniasis can cause inflammation of the vagina and vulva, along with a frothy, greenish-yellow discharge with a strong fishy odor.
c. Chlamydia may cause vaginal discharge but typically does not present with a strong fishy odor.
d. Candidiasis (yeast infection) may cause inflammation and itching of the vulva, but the discharge is typically white, thick, and cottage cheese-like, not greenish with a fishy odor.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
a. Not every woman ovulates on day 14 of her cycle, and the basal temperature only rises after ovulation, not before.
b. The basal temperature is the lowest body temperature during a 24-hour period.
It is usually measured first thing in the morning before any physical activity or eating. The basal temperature can indicate when a woman is ovulating, as it tends to rise slightly (about 0.5°F or 0.3°C) after ovulation and remain elevated until the next menstrual period. By tracking the basal temperature over several cycles, a woman can identify her most fertile days and plan accordingly.
c. Intercourse can affect the body temperature and give a false reading.
d. The basal temperature is influenced by factors such as food, drink, stress, and activity, so it should be measured before any of these occur.
Correct Answer is D
Explanation
a. Ectopic pregnancy occurs outside the uterus, so uterine enlargement is not expected.
b. Vaginal bleeding may occur but is not specific to ectopic pregnancy.
c. These symptoms are nonspecific and can occur in various conditions, including ectopic pregnancy, but they are not specific to it.
d. This is a classic symptom of ectopic pregnancy and occurs due to the stretching of the fallopian tube or rupture.
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