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.
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.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
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.
Correct Answer is ["7"]
Explanation
Step 1: Heart rate of 110/min scores 2 points (normal heart rate >100).
Step 2: Slow weak cry scores 1 point (good strong cry scores 2, no cry scores 0).
Step 3: Some flexion of extremities scores 1 point (active movement scores 2, limp scores 0).
Step 4: Grimace in response to suctioning scores 1 point (coughing or sneezing scores 2, no response scores 0).
Step 5: Body pink, blue extremities scores 1 point (completely pink scores 2, completely blue or pale scores 0).
Step 6: Total Apgar score is the sum of the scores from each category: 2 + 1 + 1 + 1 + 2 = 7. Final calculated answer: 7.
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