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OB Final Exam Review
Symptoms of Bacterial Vaginosis
excessive amount of thin, watery, white or gray vaginal discharge, with a foul odor.
Diagnosis of BV
characteristic "clue cells" are seen on a wet mount prep and leukocytes are conspicuously absent
Positive "whiff" test for BV
release of a strong "fishy" aminelike odor
normal pH of vagina
treatment of BV
metronidazole (Flagyl), or gel, may also use clindamycin
Symptoms of Vulvovaginal candidiasis (VVC)
thick, white vaginal discharge, severe itching, dysuria, dyspareunia, on physical exam-labia may be swollen
Speculum exam findings in VVC
thick, white tenacious curdy patches adhering to the vaginal mucosa
Nursing Diagnosis for women with BV or VVC
Risk for impaired skin integrity; health seeking behavior
Ways to prevent recurrence of BV or VVC
wear cotton panties, avoid vaginal douches, sprays or powders
Expected outcomes of nursing care of a patient with BV or VVC
woman's symptoms are relieved, and infection cured.; the woman is able to identify self care measures to prevent further episodes
Symptoms of Trichomoniasis
often asymptomatic, yellow-green frothy odorous discharge and vulvar itching, sometimes subepithelial hemorrhages on the cervix
Symptoms of Gonorrhea
purulent, greenish yellow vaginal discharge, dysuria, urinary frequency