Conditions characterized by vaginal discharge or itching Flashcards
A nurse practitioner is educating the community on the prevention of vaginitis. Recommend an appropriate prevention technique.
Utilize pessaries and pelvic floor exercises.
Avoid powders and bubble baths.
Gain weight, and practice yoga.
Wipe from back to front after toilet use.
Avoid powders and bubble baths.
In securing a health history of a 65-year-old woman, propose a clinical manifestation described by the client that the nurse would suspect is related to bacterial vaginosis.
Chronic abdominal pain
Gray vaginal discharge
Heavy feeling or dragging in the vagina
Uterine cramping and backache
Gray vaginal discharge
A 65-year-old woman presents to the clinic with complaints of postcoital bleeding. The nurse practitioner is completing a work-up for cervical polyps. When educating this patient on cervical polyps, propose a statement that reflects an understanding.
Women presenting with polyps are typically symptomatic.
I will definitely need chemotherapy, followed by polyp removal.
Because I am postmenopausal, my risk should be increasing.
Most women presenting with cervical polyps are asymptomatic.
Most women presenting with cervical polyps are asymptomatic.
Determine the accurate statement when diagnosing a patient with candida.
Culture should be obtained if the woman presents with recurrent symptoms.
Diagnosis is based on biopsy results.
A majority of women are asymptomatic, delaying diagnosis.
Diagnosis is based on clinical findings.
Culture should be obtained if the woman presents with recurrent symptoms.
A postmenopausal woman reports that she has started spotting again. Predict the symptom that is consistent with vulvar cancer.
Constipation
History of infertility
Gray vaginal discharge
Palpable mass
Palpable mass
Bacterial vaginosis can be diagnosed by the use of the Amsel criteria or Gram stain. Predict the criterion that can be used as a diagnostic consideration.
Vaginal fluid pH that is less than 4.5
Green vaginal discharge
Negative whiff test
Homogeneous, thin, grayish-white discharge
Homogeneous, thin, grayish-white discharge
A nurse practitioner is educating a patient regarding the treatment of bacterial vaginosis. Propose a statement that reflects an understanding of the treatment plan.
After completing the treatment for bacterial vaginosis, I should douche.
It is okay to have sex while being treated for bacterial vaginosis.
I should not drink alcohol while taking metronidazole.
Bacterial vaginosis is considered a sexually transmitted disease.
I should not drink alcohol while taking metronidazole.
A postmenopausal woman reports that she has started spotting again. Predict the symptom that is consistent with vulvar cancer.
White curdled vaginal discharge
Gray vaginal discharge
Palpable mass
History of infertility
Palpable mass
Establish an identifiable risk factor for candida vulvovaginitis.
Asthma
Hyperlipidemia
Hypertension
Elevated estrogen levels
Elevated estrogen levels
Determine the accurate statement when diagnosing a patient with candida.
Diagnosis is based on clinical findings.
Diagnosis is based on biopsy results.
Gram stain or culture can be completed.
Culture should be obtained on all women.
Gram stain or culture can be completed.
Predict a normal finding in a woman during her reproductive years.
Positive hyphae
Vulvar pruritus
Vaginal epithelial cells with adherent bacteria
Sticky, odorless vaginal secretions
Sticky, odorless vaginal secretions
Physical examination of a 19-year-old woman with a 3-day history of vaginal itch reveals moderate perianal excoriation, vaginal erythema, and a white clumping discharge. Conclude what these symptoms are consistent with.
Bacterial vaginosis
Trichomoniasis
Yeast infection
Trichomonas vaginalis
Yeast infection
A 65-year-old woman presents to the clinic with complaints of postcoital bleeding. The nurse practitioner is completing a work-up for cervical polyps. Determine an accurate statement regarding cervical polyps.
Cervical polyps are more prominent after menopause.
Cervical polyps typically occur after menarche.
Cervical polyps are typically malignant.
Cervical polyps are associated with a high number of pregnancies.
Cervical polyps typically occur after menarche.
A nurse practitioner is educating a patient regarding the treatment of bacterial vaginosis. Propose a statement that reflects an understanding of the treatment plan.
Treatment includes limiting sexual partners to avoid reoccurrence of the disease.
A majority of cases resolve without treatment.
It is okay to have sex while being treated for bacterial vaginosis.
Bacterial vaginosis is considered a sexually transmitted disease.
Treatment includes limiting sexual partners to avoid reoccurrence of the disease.
A 25-year-old woman is diagnosed with bacterial vaginosis. Predict an identified risk factor for the development of bacterial vaginosis.
Lack of vaginal lactobacilli
Patient is 6 months pregnant
Use of cotton underwear
Family history of bacterial vaginosis
Lack of vaginal lactobacilli
When interviewing a client with vaginitis, predict the subjective data that you would expect to find in her history.
Chronic pelvic pain
Vaginal discharge that has a fishy odor
Cyclic migraine headaches
Vulvar lumps
Vaginal discharge that has a fishy odor
Bacterial vaginosis can be diagnosed by the use of the Amsel criteria or Gram stain. Predict the criterion that can be used as a diagnostic consideration.
Absence of clue cells
Green vaginal discharge
Vaginal fluid pH that is less than 4.5
Vaginal fluid pH that is greater than 4.5
Vaginal fluid pH that is greater than 4.5
A nurse practitioner is educating the community on the prevention of vaginitis. Recommend an appropriate prevention technique.
Wipe from back to front after toilet use.
Use condoms.
Utilize pessaries and pelvic floor exercises.
Wear nylon underwear.
Use condoms.
Propose a treatment option for bacterial vaginosis.
Metronidazole cream
Topical bacitracin
Triple antibiotic ointment
Oral amoxicillin
Metronidazole cream
A nurse practitioner is educating a patient on premenstrual syndrome (PMS). The patient has questions on the diagnostic criteria. Propose an accurate statement.
A complete lab work-up must be done prior to diagnosis.
It must be experienced for 5 days before the menses and abate during menstrual flow.
The key diagnostic tool is the complete blood count.
An ultrasound is the gold standard for diagnosis.
It must be experienced for 5 days before the menses and abate during menstrual flow.
nurse practitioner is educating a group of adolescents on ovarian cysts. Propose an accurate statement about ovarian cysts.
B-hCG is needed to rule out pregnancy.
Magnetic resonance imaging (MRI) is needed to confirm diagnosis of ovarian cysts.
Hysterectomy is needed to remove ovarian cysts.
The corpus luteum cyst typically ruptures spontaneously.
B-hCG is needed to rule out pregnancy.
In securing the health history of a 40-year-old woman, propose a clinical manifestation described by the patient that the nurse would suspect is related to premenstrual syndrome.
Heavy feeling or dragging in the vagina
Associated hypertension
Chest pain that radiates to the right arm
Decreased interest
Decreased interest
A 20-year-old presents to the clinic for a well exam. The nurse practitioner is educating her on endometriosis. Propose a statement reflecting an understanding of endometriosis and associated factors.
I may experience difficulties when attempting to get pregnant.
Endometriosis is considered a sexually transmitted disease.
A majority of cases resolve without treatment.
Endometrial tissues found outside the uterus is atypical of endometriosis.
I may experience difficulties when attempting to get pregnant.
A 19-year-old patient presents to the clinic with complaints of menorrhagia and dysmenorrhea. Determine the statement that accurately reflects primary dysmenorrhea.
Endometriosis is the most common cause.
The rate of absenteeism decreases after the first year.
It typically starts after the onset of an underlying condition.
No underlying pathology is necessary.
No underlying pathology is necessary.
A 25-year-old woman is diagnosed with benign ovarian cyst. Establish an accurate statement regarding symptoms and risk factors.
Patients with ovarian cyst have a higher risk of developing cancer.
Gynecological exam is not necessary to diagnose ovarian cyst.
Many cases of ovarian cyst produce no symptoms.
Urinary retention is common in patients with ovarian cyst.
Many cases of ovarian cyst produce no symptoms.
Recommend a treatment option for a patient presenting with dysmenorrhea.
Oral azithromycin
Ketogenic diet
Oral contraceptives
Hysterectomy
Oral contraceptives
Adenomyosis occurs when the tissue that normally lines the uterus (endometrial tissue) grows into the muscular wall of the uterus. Determine the accurate statement about adenomyosis.
Adenomyosis is commonly found during adolescence.
Adenomyosis is cured with hormonal treatment.
Adenomyosis usually resolves after menopause
A biopsy can confirm adenomyosis.
Adenomyosis usually resolves after menopause
