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
