During an initial examination in the labor room, the nurse notes a large amount of yellow-green or gray frothy and bubbly discharge around the vaginal walls with a foul smell.
The nurse suspects the woman has which type of sexually transmitted infection?

Gonorrhea.

Trichomoniasis.

Chlamydia.

Syphilis.

Answer and Explanation

The Correct Answer is B

Choice A rationale

Gonorrhea typically presents with a purulent, often thick, yellow discharge. While it can have a foul odor, the description of frothy and bubbly is less characteristic of gonorrhea. Diagnosis usually involves a cervical culture or nucleic acid amplification testing (NAAT).

Choice B rationale

Trichomoniasis, caused by the protozoan *Trichomonas vaginalis*, is characteristically associated with a large amount of yellow-green or gray, frothy, and bubbly vaginal discharge with a distinct, often foul or fishy odor. Microscopic examination of the discharge reveals the motile trichomonads for definitive diagnosis.

Choice C rationale

Chlamydia often presents with a thin or mucopurulent discharge, which may be yellowish, but it is not typically described as frothy or bubbly. Many women with chlamydia are asymptomatic. Diagnosis is usually made through NAAT of cervical or urine samples.

Choice D rationale

Syphilis in its primary stage presents with a painless chancre. Secondary syphilis can involve a generalized rash and flu-like symptoms. Vaginal discharge is not a primary characteristic of either the primary or secondary stages of syphilis. Diagnosis involves serological testing.

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Correct Answer is C

Explanation

Choice A rationale

Placenta previa is a condition where the placenta partially or totally covers the cervix. While it poses risks for hemorrhage during labor and delivery, it does not directly increase the risk of postpartum infection. The primary risks associated with placenta previa are related to bleeding, not infection.

Choice B rationale

Meconium aspiration occurs when a fetus inhales meconium-stained amniotic fluid. This primarily affects the newborn's respiratory system and does not directly increase the postpartum client's risk of infection. The complications of meconium aspiration are focused on the neonate.

Choice C rationale

A midline episiotomy is a surgical incision made in the perineum during childbirth to enlarge the vaginal opening. This incision creates a break in the skin and mucous membranes, providing a potential portal of entry for bacteria. Therefore, a midline episiotomy places the postpartum client at an increased risk for local infection at the incision site.

Choice D rationale

Gestational hypertension is high blood pressure that develops during pregnancy and typically resolves after delivery. While it poses risks to both the mother and the fetus, it does not directly increase the postpartum client's risk of infection. The primary concerns with gestational hypertension are related to blood pressure control and potential end-organ damage.

A. Stepping. B. Babinski. C. Tonic neck. D. Plantar grasp.

Correct Answer is B

Explanation

Choice A rationale

The stepping reflex, also known as the walking or dancing reflex, is elicited by holding the infant upright with their feet touching a flat surface. The infant will make stepping or dancing movements. This is not elicited by stroking the lateral sole of the foot.

Choice B rationale

The Babinski reflex is elicited by stroking the lateral sole of the infant's foot from the heel upward and across the ball of the foot. A positive Babinski sign is characterized by dorsiflexion of the great toe and fanning out of the other toes. This reflex is normal in infants and typically disappears by 12 to 24 months of age.

Choice C rationale

The tonic neck reflex, also known as the fencing reflex, is elicited by turning the infant's head to one side. The arm and leg on the turned side extend, while the arm and leg on the opposite side flex. Stroking the sole of the foot does not elicit this reflex.

Choice D rationale

The plantar grasp reflex is elicited by placing a finger or object across the base of the infant's toes. The toes will curl downward and grasp the object. This reflex is different from the response elicited by stroking the lateral sole of the foot. .

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During an initial examination in the labor room, the nurse notes a large amount of yellow-green or gray frothy and bubbly discharge around the vaginal walls with a foul smell.The nurse suspects the woman has which type of sexually transmitted infection?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

A nurse is reviewing the electronic medical record of a postpartum client.The nurse should identify which of the following factors places the client at risk for infection.

Correct Answer is C

Explanation

Which newborn reflex is elicited by stroking the lateral sole of the infant's foot from the heel to the ball of the foot?

Correct Answer is B

Explanation

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During an initial examination in the labor room, the nurse notes a large amount of yellow-green or gray frothy and bubbly discharge around the vaginal walls with a foul smell.
The nurse suspects the woman has which type of sexually transmitted infection?