A nurse is assessing clients with vulvovaginitis. Which type of vulvovaginitis can be transmitted from mother to child during delivery?

Choice A rationale:

Anaerobic bacteria are not responsible for the described symptoms. They typically cause foul-smelling discharge with a different consistency.

Choice B rationale:

Fungi, such as Candida species, commonly cause vaginal candidiasis, which presents with thick, white, cottage cheese-like discharge. This matches the client's symptoms.

Choice C rationale:

Protozoa, like Trichomonas vaginalis, usually lead to a frothy, greenish-yellow discharge with a foul odor, which doesn't align with the client's presentation.

Choice D rationale:

Low estrogen levels would not directly cause this type of discharge. They might lead to vaginal dryness and thinning of vaginal walls, but not the specific discharge described.

Choice E rationale:

Human papillomavirus (HPV) doesn't typically cause the described discharge. It's associated with genital warts and cervical changes but not with this type of discharge.

Choice A rationale:

Encouraging the use of vaginal douches is not recommended for vulvovaginitis caused by Candida albicans. Douching can disrupt the vaginal pH balance and lead to further irritation or infection.

Choice B rationale:

Applying a topical corticosteroid cream is not a suitable intervention for Candida albicans-related vulvovaginitis. Corticosteroids can suppress the immune response and potentially worsen fungal infections.

Choice C rationale:

Using hormonal therapy is not indicated for treating Candida albicans vulvovaginitis. This condition is primarily fungal in nature and requires antifungal treatment, not hormonal therapy.

Choice D rationale:

Promoting good hygiene practices is essential in managing Candida albicans vulvovaginitis. Proper hygiene helps maintain a healthy vaginal environment and reduces the risk of fungal overgrowth. Emphasizing the importance of gentle cleansing and avoiding irritants is crucial.