SOLVED1998

An adult female with no significant past medical history presents with vaginal irritation and discharge for 2 days. She says she is 7 weeks pregnant and was recently treated for a UTI with nitrofurantoin for 1 week. She has no dysuria, abdominal pain, or vaginal bleeding. Her vitals are as follows: blood pressure 110/70, heart rate 75, respiratory rate 16, temperature 98.5, and O2 saturation 99% on RA. On exam, a whitish vaginal discharge is noted that is not malodorous. Her abdomen is nontender, she has no cervical motion tenderness, and her os is closed. How should this patient be treated? A. Presumptively treat for PID B. Check vaginal pH; if normal, treat for candidiasis with 1 dose of oral fluconazole (Diflucan) C. Presumptively treat for BV D. Check vaginal pH; if normal, treat for candidiasis with miconazole cream (Monistat) applied vaginally for 1 week
SCIENCE
HEALTH SCIENCE
NURSING

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