Final Answer:
The nurse should educate the family that constipation is a common cause of vulvovaginitis, and the use of cleansing towelettes may have contributed to the condition. Fevers are not typically associated with vulvovaginitis, and it is not an automatic indication of child abuse.Thus,the correct option is 1.
Step-by-step explanation:
Vulvovaginitis in children can be caused by various factors, and constipation is indeed a common contributor. When a child is constipated, the rectum can press against the vagina, leading to irritation and inflammation. Educating the family about the importance of addressing and managing constipation in their child's case is crucial for preventing and treating vulvovaginitis. This information empowers parents to take proactive measures in promoting their child's overall well-being.
Additionally, the use of cleansing towelettes may also play a role in causing vulvovaginitis. Harsh or fragranced wipes can disrupt the delicate balance of the genital area, leading to irritation and inflammation. Recommending gentle and unscented alternatives, or encouraging proper cleansing practices, can be part of the preventive measures discussed with the family. It's essential to provide practical advice that aligns with maintaining good genital hygiene without causing further harm.
Fevers, however, are not typically associated with vulvovaginitis itself. While any signs of distress in a child should be addressed promptly, the presence of vulvovaginitis alone does not automatically trigger concerns of child abuse. The nurse should assure the family that a thorough examination and consideration of all relevant factors will guide the healthcare team in determining the cause and appropriate management of the child's condition.
Therefore,the correct option is 1.