Nursing Assignment: Vaginal Exams, Culture, and STIs

This nursing assignment solution addresses crucial considerations for vaginal examinations across diverse cultural backgrounds. It emphasizes the importance of cultural sensitivity, particularly when examining Muslim, Hispanic, and African American women. The assignment highlights the potential impact of female genital mutilation on Muslim women, stressing the need for extreme caution during examinations and HIV testing. It also discusses the increased susceptibility of Hispanic women to sexually transmitted diseases (STIs) and the prevalence of bacterial vaginosis among African American women, including associated pregnancy risks. The solution underscores the significance of understanding and addressing these cultural and medical factors to provide appropriate and sensitive patient care, referencing relevant research and studies. The assignment emphasizes the need for healthcare professionals to be aware of cultural sensitivities and the potential health risks faced by these specific populations.

Running head: NURSING QUESTION ANSWER
NURSING QUESTION ANSWER
Name of the Student:
Name of the University:
Author Note:

1NURSING QUESTION ANSWER
Consideration on Vaginal Examination of a Muslim woman.
While considering the vaginal examination of the Muslim woman, it must be considered
that the woman is likely to have a mutilated genital. The World Health Organization have, in one
of their reports had mentioned that most if the Muslim woman are found with an absent clitoral
hood, and therefore fall under the category of the type I of the genital mutilation. Therefore, in
case of vaginal examination, the professional must take extra precaution. It can result into severe
bleeding, and cam also lead to sexual transmitted disease (Hassan et al., 2013). Therefore, while
examining the vagina of a Muslim woman, who has experienced the female genital mutilation,
the practitioners must be extremely cautious of harming any further pain, as that can result into
shock or genital tissue swelling, or can cause bleeding again. At the same time, the professional
must ensure that a test of the HIV has been done, as there is a chance for the woman to be HIV
positive.
Caring a Hispanic woman considering her sexually transmitted infection.
According to the researchers and the health professionals the Hispanic women are very
much prone to experience sexually transmitted diseases and there is a higher chance for the
women to be characterized with being HIV positive. According to the health professional the
immigration process has a huge impact upon these outcomes. The acculturation process also
results into sexually transmitted diseases among the Hispanic women. Researchers have opined
that the almost 47% of the Hispanic women of the country are suffering from sexual diseases.
Syphilis and Chlamydia are very common among the women and along with this the Bacterial
Vaginosis is also very common among the Hispanic women (Valverde et al., 2016). The

2NURSING QUESTION ANSWER
researchers have also found that the women being bisexual or homosexual are expose to be
suffering from the sexual transmitted diseases, especially to the Bacterial Vaginosis.
Treatment of the African American girl characterized with grey white discharge.
The grey white discharge from the vagina is usually known as Bacterial Vaginosis. It is
as overgrowth of the vagina, which is creates fish like odor and the color of the discharge is
grayish white. Studies have found that the African American girls or women are more likely to
be diagnosed with the Bacterial Vaginosis. This particular diseases has serious and severe health
outcomes, and are more prone to be exposed to the sexually transmitted diseases. The Africa
America women are likely to suffer from the sexual risks during the time of pregnancy. It
increases the two fold and the three fold risk of preterm birth (Fettweis et al., 2014). There is an
extreme racial factor in the prevalence of this particular disease, and the reasons for the same are
quire unclear. Therefore, the sexual intercourse must be dine in utmost caution. The researchers
have found that the African American women have higher Nugent scores, which heightens the
chances of microbial or bacterial diseases among the women (Kairys, & Garg, 2019). However,
it is not transmissible, as per the claims of the researchers and the health practitioners.

3NURSING QUESTION ANSWER
References:
Fettweis, J. M., Brooks, J. P., Serrano, M. G., Sheth, N. U., Girerd, P. H., Edwards, D. J., ... &
Vaginal Microbiome Consortium. (2014). Differences in vaginal microbiome in African
American women versus women of European ancestry. Microbiology, 160(Pt 10), 2272.
Hassan, S. J., Sundby, J., Husseini, A., & Bjertness, E. (2013). Translating evidence into practice
in childbirth: A case from the Occupied Palestinian Territory. Women and Birth, 26(2),
e82-e89.
Kairys, N., & Garg, M. (2019). Bacterial Vaginosis. In StatPearls [Internet]. StatPearls
Publishing.
Valverde, E. E., DiNenno, E. A., Schulden, J. D., Oster, A., & Painter, T. (2016). Sexually
transmitted infection diagnoses among Hispanic immigrant and migrant men who have
sex with men in the United States. International journal of STD & AIDS, 27(13), 1162-
1169.