A woman in the 34th week of pregnancy says to the nurse, I still ...

[Marty]

A woman in the 34th week of pregnancy says to the nurse, I still feel like having intercourse with my husband.. The woman's pregnancy has been uneventful. The nurse responds based on the understanding that:
 
  A) It is safe to have intercourse at this time.
  B) Intercourse at this time is likely to cause rupture of membranes.
  C) There are other ways that the couple can satisfy their needs.
  D) Intercourse at this time is likely to result in premature labor.

Question 2

A pregnant woman comes to the clinic and tells the nurse that she has been having a whitish vaginal discharge. The nurse suspects vulvovaginal candidiasis, based on which assessment finding?
 
  A) Fever
  B) Vaginal itching
  C) Urinary frequency
  D) Incontinence

[scikid]

Answer to Question 1

A
Feedback:
Sexual activity is permissible during pregnancy unless there is a history of vaginal bleeding, placenta previa, risk of preterm labor, multiple gestation, incompetent cervix, premature rupture of membranes, or presence of infection. Rupture of membranes or premature labor is unlikely since the woman's pregnancy has been uneventful so far. Alternative sexual positions may be necessary as the woman's abdomen increases in size.

Answer to Question 2

B
Feedback:
Vaginal secretions become more acidic, white, and thick during pregnancy. Most women experience an increase in a whitish vaginal discharge, called leukorrhea. This is normal except when it is accompanied by itching and irritation, possibly suggesting Candida albicans, a monilial vaginitis, which is a very common occurrence in this glycogen-rich environment. Fever would suggest a more serious infection. Urinary frequency occurs commonly in the first trimester, disappears during the second trimester, and reappears during the third trimester. Incontinence would not be associated with a vulvovaginal candidiasis. Incontinence would require additional evaluation.