Question

scenario
madeline goldblum, 26 years old, 10 days postpartum, presents with odorous
discharge and abdominal discomfort. lab results confirm chlamydia trachomatis
and trichomonas vaginalis. she is breastfeeding and resides with a partner who
has a history of multiple partners.
she has received azithromycin and
metronidazole and is in need of
nursing support for education,
follow - up, and coordinated care.
select all actions that indicate the nurse must initiate
interdisciplinary collaboration to support safe,
coordinated reproductive care for this client.

• notify the obstetric provider for ongoing postpartum

care and follow - up assessment.

• request consultation with an infection control nurse to

report and track sti diagnoses.

• request a home health nurse to perform daily perineal

care.

• consult dietary services for nutrition planning during

antibiotic therapy.

• alert public health services for sti case documentation

and partner notification protocols.

• refer the client to a social worker for assistance with

partner notification and access to community health
resources.

• coordinate with the pharmacist to confirm medication

safety while breastfeeding.

• contact case management to assess barriers to follow -

up and coordinate continued care.

Explanation:

• Notify obstetric provider: Ensures specialized postpartum STI follow-up.
• Infection control nurse consult: Proper STI reporting/tracking per protocols.
• Public health alert: Fulfills mandatory STI documentation and partner notification requirements.
• Social worker referral: Assists with partner notification and community health resources.
• Pharmacist coordination: Confirms safety of antibiotics during breastfeeding.
• Case management contact: Addresses barriers to follow-up care for coordinated support.

The other options are unnecessary: daily home perineal care is not indicated, and dietary planning is not a priority for this STI/antibiotic regimen.

Answer:

• Notify the obstetric provider for ongoing postpartum care and follow-up assessment.
• Request consultation with an infection control nurse to report and track STI diagnoses.
• Alert public health services for STI case documentation and partner notification protocols.
• Refer the client to a social worker for assistance with partner notification and access to community health resources.
• Coordinate with the pharmacist to confirm medication safety while breastfeeding.
• Contact case management to assess barriers to follow-up and coordinate continued care.