A client reports experiencing vaginal dryness and atrophy. The nurse suspects atrophic vaginitis (AV) Which assessment finding supports this suspicion?
Vaginal pH less than 4.5.
Presence of motile trichomonads on microscopic examination.
Thin and loss of rugae (folds) of vaginal mucosa on examination.
Vaginal discharge that is thin, gray-white, or milky.
The Correct Answer is C
Choice A rationale:
A vaginal pH less than 4.5 is within the normal acidic range and does not specifically support the suspicion of atrophic vaginitis (AV)
Choice B rationale:
Presence of motile trichomonads indicates trichomoniasis, not atrophic vaginitis (AV)
Choice C rationale:
Thin and loss of rugae (folds) of vaginal mucosa is a characteristic finding in atrophic vaginitis (AV) This condition occurs due to decreased estrogen levels, leading to thinning and drying of vaginal tissues.
Choice D rationale:
A thin, gray-white, or milky vaginal discharge is more suggestive of other infections or conditions and is not a specific sign of atrophic vaginitis (AV)
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
Choice A rationale:
Bacterial vaginosis (BV) is primarily associated with endogenous transmission, meaning it is caused by an overgrowth of normally occurring vaginal bacteria rather than being directly transmitted from another individual.
Choice B rationale:
While sexual transmission can play a role in the development of BV, it is not the primary mode of transmission for this condition.
Choice C rationale:
Vector transmission involves the transfer of pathogens by a vector such as a mosquito or tick and is not relevant to bacterial vaginosis.
Choice D rationale:
Contact transmission typically involves direct physical contact with an infected person or contaminated object, which is not the main mode of transmission for BV.
Correct Answer is C
Explanation
Choice A rationale:
Avoiding sexual intercourse is not necessary for preventing vulvovaginitis. Maintaining good hygiene and other preventive measures are more relevant.
Choice B rationale:
Using scented soaps for cleansing can actually increase the risk of vulvovaginal irritation and infections. Unscented, gentle cleansers are recommended.
Choice C rationale:
Limiting sexual partners helps reduce the risk of sexually transmitted infections (STIs) that can lead to vulvovaginitis.
Choice D rationale:
Douching regularly is not advised, as it disrupts the natural balance of vaginal flora and increases the risk of infections and irritation.
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