A 23-year-old female complains of a white-yellow vaginal discharge with a fishy odor for the last 2 days. A wet prep shows characteristic clue cells (epithelial cells embedded with bacteria). These findings are indicative of:
A. Chlamydia infection
B. Bacterial vaginosis
C. Vaginal candida
D. Gonorrhea
ANS: B
Gardnerella vaginalis causes bacterial vaginosis, the most prevalent vaginal infection. Of those women who are symptomatic, the overwhelming complaint is of a malodorous discharge. The odor of G. vaginalis is a distinct, fishy odor. The odor is usually noticeable during the pelvic examination, but a few drops of 10% KOH solution on the wet prep slide augments the odor. The discharge is fairly thick and white. Patients do not complain of itching, and, generally, there is no inflammation of the vaginal mucosa. Microscopically, the wet prep shows the characteristic clue cells (epithelial cells embedded with bacteria).
You might also like to view...
Calculate the daily rate of maintenance fluids and the IV hourly flow rate for a child who weighs 44 pounds
1. 1100 mL per day; 46 mL/h 2. 850 mL per day; 35 mL/h 3. 1500 mL per day; 62 mL/h 4. 1200 mL per day; 50 mL/h
Which nutritional recommendation about fluids is accurate?
a. A woman's daily intake should be eight to 10 glasses (2.3 L) of water, milk, and/or juice. b. Coffee should be limited to no more than 2 cups, but tea and cocoa can be con-sumed without worry. c. Of the artificial sweeteners, only aspartame has not been associated with any ma-ternity health concerns. d. Water with fluoride is especially encouraged because it reduces the child's risk of tooth decay.
The nurse prepares an insulin injection for the client who has diabetes mellitus. Which does the nurse implement for insulin administration?
1. Gives regular insulin within 15 to 30 minutes of meals 2. Stores sealed, unused insulin vials at room temperature 3. Examines vials of NPH insulin for abnormal cloudiness 4. Administers NPH insulin for sliding-scale insulin dosing
You are the parish community health nurse assigned to prepare the goals for the 6-month mission trip and the framework to be used is the Millennium Development Goals for improving global health
What is a challenge to the Millennium Development Goals that needs to be considered in establishing goals for developing countries? A) The proportion of people in sub-Saharan Africa living on less than $1 per day is unlikely to be reduced by the target of one-quarter. B) About 15% of all children in developing countries are considered to be underweight and are at risk of having a future blighted by the long-term effects of undernourishment. C) Almost 40% of employed women in the developing world are in vulnerable jobs as own-account or unpaid family workers. D) In one third of developing countries, women account for less than 10% of parliamentarians.