CNM Certified Nurse Midwife

Answer: A - The client is most likely diagnosed with primary syphilis. Primary syphilis is manifested by a painless, ulcerative crater within a papule. The lesions are usually found on the vulva or cervix in females and on the glans penis in males. Secondary syphilis is manifested by a localized or diffused mucocutaneous rash and generalized, non-tender lymphadenopathy. Latent syphilis is usually detected through serological tests. Tertiary syphilis usually involves visceral organs.