Practice Quiz

CRNE Exam Prep

Category - Partnership

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Natalia, an 18-year-old college student, is in her first trimester. She calls a nurse working at a clinic and reports increased vaginal discharge that is thin and colorless in appearance. The most appropriate INITIAL response of the nurse is:
  1. “You need immediate medical care. Go to the nearest emergency department.”
  2. “It can be distressing. Wear panty-liners and change them frequently.”
  3. “That type of vaginal discharge is expected during the first trimester.”
  4. “That is a normal occurrence. If profuse, use tampons and change them frequently.”
Explanation
Answer: C - Increased thin and colorless vaginal discharge is expected during the first trimester. In fact, Leukorrhea is expected throughout pregnancy. This type of discharge does not require immediate medical care. Tampons are not recommended during pregnancy, as increase the risk for infections. Acknowledging leukorrhea as a distressing symptom may be considered, but the statement does not address the client’s main concern. Informing the client that this type of discharge is a normal occurrence facilitates re-assurance and understanding of physiological changes during pregnancy.
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