vaginal secretions

Question 1

in a vaginal secretion we can look for

Answer 1

vaginosis, vaginitis, STD, or ovulation

Question 2

how to get a vaginal secretion

Answer 2

place a swab in saline
-shake it
-vortex

do this to get all cells off

Question 3

when should you look at a vaginal secretion

Answer 3

ASAP
-vaginal pH changes quickly after collection
-bacteria can change this and make cells disintegrate

Question 4

what can culture for in a vaginal secretion

Answer 4

• Beta strep group B - meningitis
  
  • ??? Maddie
  • PCR chayminda
  • PCR Micro plasma
  • PCR trichomonas

Question 5

normal pH of vaginal secretion

Answer 5

3.8-4.5

lactobacillus allows this
-helps keep down contaminating bacteria

Question 6

what to look for in a wet mount

Answer 6

-clue cells
-can look like epi cells clumping together

clue cells= gardnerella vaginosis

tiny gram variable cocci rods

Question 7

what is gardnerella associated with

Answer 7

○ Associated low birth weight babies
○ Women at risk for pre term delivery
○ Should treat both partners if found
○ Found with decrease in lactobacillus

Question 8

what else should you not on a wet mount

Answer 8

WBCs and yeast

Question 9

what makes women more prone to yeast infections

Answer 9

antibiotics

ALSO
UTI
Pregnancy
Diabetes
Estrogen replacement therapy

Question 10

most common STD parasite

Answer 10

trichomonas
-diagnose when motile

Question 11

only note sperm in a wet mount for vaginal secretions when

Answer 11

rape or underage person

Question 12

what is normally to see in vaginal fluid

Answer 12

parabasal bodies
-smaller than epi’s and rounder

Question 13

how and why is cervical mucous testing done

Answer 13

from cervix and get mucous out
-done for fertility to determine time of ovulation

Question 14

what is the fern test

Answer 14

mucous extracted and spread on slide
-allow to air dry

look under microscope and if you see fern pattern= it is mid cycle and time of ovulation