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A 30-year-old paralegal analyst comes to your clinic, complaining of a bad-smelling vaginal discharge with some mild itching, present for about 3 weeks. She tried douching but it did not help. She has had no pain with urination or with sexual intercourse. She has noticed the smell increased after intercourse and during her period last week. On speculum examination a thin gray-white discharge is seen in the vault. The pH of the discharge is over 4.5 and there is a fishy odor when potassium hydroxide (KOH) is applied to the vaginal secretions on the slide. Wet prep shows epithelial cells with stippled borders (clue cells). What type of vaginitis best describes her findings?

Sherry, age 56, is postmenopausal.  She is experiencing problems with frequent hot flashes and vaginal dryness leading to discomfort during sexual activity.  The nurse pracitioner decides to initiate hormone replacement therapy (HRT) for Sherry.  HRT for post menopausal women with an intact uterus consists of:

One purpose of adding potassium hydroxide to a wet mount with vaginal fluid is to:

Julia, age 28, has come to the clinical for her initial prenatal visit.  Her body mass index (BMI) is 21 (normal).  She asks what would be a normal weight gain for her during this pregnancy.  Which response by the nurse practitioner is correct?

Fran is 50 years old and has just had a total hysterectomy. She is experiencing menopausal symptoms and is requesting a menopause hormone therapy (MHT).  Your plan of care includes which of the following?

You are the nurse practitioner in a family practice clinic.  You diagnose pregnancy in a patient and estimate that she is at 9 weeks gestation.   Which of the following will you perform at this appointment? (Select all that apply)

A 26-year-old pregnant woman, gravida 2, para 1-0-0-1, is 28 weeks pregnant when she experiences bright red, painless vaginal bleeding. On her arrival at the hospital, which diagnostic procedure will the client   most likely have performed?

A pregnant woman arrives at the clinic for her inital prenatal visit. Her last menstrual period (LMP) was May 12, 2022. What is the client’s expected date of delivery (EDD)?

Contraindications for menopausal hormonal therapy (MHT) include all of the following: (please select all that apply)

All of the following that are contraindications for Copper-containing IUD (Select all the Apply):