What symptom would a nurse anticipate in a patient diagnosed with bacterial vaginosis?

Vaginal pH of 3.

Fish-like odor of discharge.

Yellowish-green discharge.

Cervical bleeding upon contact.

Answer and Explanation

The Correct Answer is B

Choice A rationale
A vaginal pH of 3 is not a symptom of bacterial vaginosis. In fact, a higher vaginal pH (greater than 4.5) is more commonly associated with bacterial vaginosis.
Choice B rationale
A fish-like odor of discharge is a common symptom of bacterial vaginosis. This odor may become stronger after sexual intercourse.
Choice C rationale
Yellowish-green discharge is not typically associated with bacterial vaginosis. The discharge associated with bacterial vaginosis is usually thin and gray or white.
Choice D rationale
Cervical bleeding upon contact is not a common symptom of bacterial vaginosis. The most common symptoms are a fish-like odor and a thin, gray or white discharge.

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Correct Answer is D

Explanation

Choice A rationale
Informing the obstetrician is important, but it is not the first action to take. The nurse should first try to address the issue at hand, which is a displaced and boggy uterus.
Choice B rationale
Straight catheterization of the patient could be necessary if the patient is unable to void. However, the first step should be to ask the patient to void.
Choice C rationale
Preparing the patient for manual removal of uterine clots is a more invasive procedure that should be considered if other measures, such as asking the patient to void or massaging the fundus, are not effective.
Choice D rationale
A full bladder can displace the uterus and prevent it from contracting properly. Asking the patient to void can help the uterus contract and reduce bleeding.

A. Prolongation of the luteal phase B. Stimulation of ovulation C. Suppression of menstruation D. Promotion of cervical mucus production

Correct Answer is B

Explanation

Choice A rationale
Prolongation of the luteal phase is not the primary action of Pergonal (Menotropins). The luteal phase is part of the menstrual cycle, and while hormones do regulate it, Pergonal’s primary function is not to extend this phase.
Choice B rationale
Pergonal (Menotropins) is used to stimulate ovulation. It contains follicle-stimulating hormone (FSH) and luteinizing hormone (LH), which are essential for ovulation. FSH stimulates the growth and maturation of ovarian follicles, and LH triggers ovulation and the development of the corpus luteum.
Choice C rationale
Suppression of menstruation is not an expected action of Pergonal. This medication is used to promote ovulation, not to stop menstrual periods.
Choice D rationale
While hormonal changes during the menstrual cycle can affect cervical mucus production, the primary action of Pergonal is not to promote cervical mucus production. Its main role is to stimulate ovulation.

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What symptom would a nurse anticipate in a patient diagnosed with bacterial vaginosis?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

Within 3 hours, the fundus becomes boggy and is located 2 cm above the umbilicus and displaced to the right in the postpartum patient. What is the priority nursing action?

Correct Answer is D

Explanation

A patient is to receive Pergonal (Menotropins) injections for infertility prior to in vitro fertilization. What is the expected action of this medication?

Correct Answer is B

Explanation

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