A 12-year-old girl asks the nurse about an increase in clear white odorless vaginal discharge. What response should the nurse give?
a. "This may mean a yeast infection."
b. "This is normal before menstruation starts."
c. "This is caused by an increase in progesterone."
d. "This is possibly a sign of a sexually transmitted infection."
ANS: B
Early in puberty, there is often an increase in normal vaginal discharge (physiologic leukorrhea) associated with uterine development. Girls or their parents may be concerned that this vaginal discharge is a sign of infection. The nurse can reassure them that the discharge is normal and a sign that the uterus is preparing for menstruation. It is caused by an increase in estrogen, not progesterone.
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