During a routine first trimester prenatal exam, a pregnant client tells the nurse that she has noticed an increase in vaginal discharge that is white, thin, and watery. Which action should the nurse implement?

Notify the healthcare provider of the complaint

Recommend an over-the-counter yeast medication

Inform her that this is a normal physiological change.

Prepare the client for a sterile speculum exam

Answer and Explanation

The Correct Answer is C

A. Notify the healthcare provider of the complaint: While it's important for the healthcare provider to be aware of any changes or symptoms the client is experiencing, the described discharge is commonly associated with normal physiological changes in pregnancy.

B. Recommend an over-the-counter yeast medication: The characteristics of the discharge described (white, thin, and watery) are not typical of a yeast infection. Using over-the-counter medications without proper assessment can lead to unnecessary treatment.

C. Inform her that this is a normal physiological change: This is the most appropriate action. Increased vaginal discharge, often described as leukorrhea, is a common and normal change during pregnancy. It's generally thin, white, and watery.

D. Prepare the client for a sterile speculum exam: A sterile speculum exam may be indicated if there are other concerning symptoms or if the discharge changes in color, consistency, or if there is associated itching or foul odor. However, based on the information provided, it's not the first-line action.

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Correct Answer is B

Explanation

A. Bleeding tendencies:
Bleeding tendencies are not typically a priority immediately after birth unless there is a specific indication. Newborns are not at immediate risk for bleeding unless there are underlying conditions.

B. Heat loss:
Heat loss is a significant concern for newborns. Maintaining an adequate temperature is crucial to prevent hypothermia, which can lead to complications.

C. Hypoglycemia:
While monitoring blood glucose is important in the newborn, it may not be the most immediate concern within the first minutes after delivery. Stabilizing the newborn's temperature and initiating breathing are usually higher priorities.

D. Fluid balance:
Fluid balance is essential, but the initial focus is often on establishing respirations and maintaining temperature. Fluids may be administered as needed based on the clinical assessment.

A. Provide information about the high risk nature of her pregnancy B. Explain the benefits of a five-year post-transplant waiting period C. Gently remind the client that anti-rejection drugs cause sterility D. Determine if the client is considering options for adopting a child

Correct Answer is B

Explanation

A. Provide information about the high-risk nature of her pregnancy:

While it is true that pregnancies after organ transplantation are considered high-risk due to potential complications, the initial recommendation often involves waiting for a specified period.

B. Explain the benefits of a five-year post-transplant waiting period

After a liver transplant, healthcare providers typically recommend waiting for a certain period before attempting pregnancy. This waiting period allows the individual's health to stabilize, and it ensures that the transplanted organ is functioning optimally. Pregnancy, being a physiological stressor, can pose additional challenges to individuals with transplants. Waiting for a few years post-transplant is a precautionary measure to minimize potential risks.

C. Gently remind the client that anti-rejection drugs cause sterility:

This statement is not accurate. Anti-rejection drugs can affect fertility, but they do not cause sterility. The discussion should focus on the potential risks and safety considerations for pregnancy after a liver transplant.

D. Determine if the client is considering options for adopting a child:

While adoption might be an option, the primary intervention should involve discussing the waiting period and potential risks associated with pregnancy after a liver transplant.

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During a routine first trimester prenatal exam, a pregnant client tells the nurse that she has noticed an increase in vaginal discharge that is white, thin, and watery. Which action should the nurse implement?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

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Correct Answer is B

Explanation

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Correct Answer is B

Explanation

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