Question

scenario
madeline goldblum, a 26 - year - old new mother, visits the outpatient ob clinic 10 days after giving birth. she reports yellow, odorous vaginal discharge and mild lower abdominal discomfort. she is breastfeeding and shares that she and her partner, who has had other sexual partners, have not consistently used condoms. lab testing confirms positive results for chlamydia trachomatis and trichomonas vaginalis.
the provider prescribes a single dose of azithromycin and metronidazole, both compatible with breastfeeding. madeline expresses concern about what these infections mean for her health and her ability to care for her infant.
the nurse educates madeline on the medication regimen, safe breastfeeding practices, and the importance of abstaining from sexual activity until treatment is completed by all partners. the nurse also provides referral information for partner treatment and schedules a follow - up to monitor symptom resolution and reinforce sti prevention strategies.
order the nursing actions to ensure safe, evidence - based care for a postpartum client newly diagnosed with chlamydia and another sti. place the nursing actions in the correct sequence based on best practices for client education, partner treatment referral, and symptom monitoring.
1
2
3
a) refer the client’s partner for sti testing and treatment services.
b) monitor the client for symptom resolution and adverse reactions at the follow - up appointment.
c) educate the client about medication use, potential side effects, and breastfeeding precautions.

Explanation:

1. First, the client needs education on her medications, safety while breastfeeding, and related precautions to ensure she understands and can adhere to the treatment, addressing her immediate concerns about her health and infant care.
2. Next, referring her partner for testing and treatment is critical to prevent reinfection, as the partner is a source of exposure and has had other sexual partners.
3. Finally, follow-up monitoring ensures the treatment is effective, symptoms resolve, and there are no adverse reactions to the medications.

Answer:

1. C) Educate the client about medication use, potential side effects, and breastfeeding precautions.
2. A) Refer the client's partner for STI testing and treatment services.
3. B) Monitor the client for symptom resolution and adverse reactions at the follow-up appointment.