A young female patient tells the nurse that she has a "thin, runny discharge" from her vagina every month, about halfway through her menstrual cycle. What should the nurse realize this patient is describing?
1. normal changes in cervical mucus
2. evidence of a blocked vaginal gland
3. sexual arousal response
4. evidence of a sexually transmitted infection
Correct Answer: 1
In the menstrual cycle, as the maturing follicle begins to produce estrogen around days 6 to 14, the proliferative phase begins. The amount of cervical mucus produced near the time of ovulation increases. Cervical mucus changes to a thin, crystalline substance and forms channels to help the sperm move up into the uterus. Symptoms of a blocked vaginal gland are not evident. Changes in cervical mucous are not an indication of a sexually transmitted infection or of a sexual arousal response.
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