CNM Certified Nurse Midwife

Category - Gynecology

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A nurse midwife suspects that a 23-year-old female client has trichomoniasis. Which of the following findings is most suggestive of this infection?

Thin and grayish white vaginal discharge with a fishy odor.
Purulent vaginal discharge.
Greenish-gray, frothy vaginal discharge.
Thick, white vaginal discharge with severe perineal itching.

Explanation

Answer: C - Trichomoniasis is manifested by greenish-gray frothy vaginal discharge. Thin and grayish white vaginal discharge with a fishy odor suggests giardiasis. A purulent vaginal discharge most likely suggests gonorrhea. Thick, white vaginal discharge with severe perineal itching suggests candidiasis.

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CNM Certified Nurse Midwife

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