On vaginal examination of a 30-year-old woman, the nurse documents the following findings: profuse, thin, grayish white vaginal discharge with a "fishy" odor; complaint of pruritus

On the basis of these findings, the nurse suspects that this woman has: a. Bacterial vaginosis (BV).
b. Candidiasis.
c. Trichomoniasis.
d. Gonorrhea.


A

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A Most women with BV complain of a characteristic "fishy odor." The discharge usually is profuse, thin, and has a white, gray, or milky color. Some women also may have mild irritation or pruritus.
B The discharge associated with candidiasis is thick, white, and lumpy and resem-bles cottage cheese.
C Trichomoniasis may be asymptomatic, but women commonly have a characte-ristic yellowish to greenish, frothy, mucopurulent, copious, and malodorous discharge.
D Women with gonorrhea are often asymptomatic. They may have a purulent en-docervical discharge, but discharge usually is minimal or absent.

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