Question

While caring for a 4-year-old girl with vulvovaginitis, the nurse teaches the girl's mother how to prevent subsequent episodes. Which of the following responses by the mother indicates a need for further teaching?

A) ""I'll tell her to wipe from front to back.""
B) ""I will make sure she changes her underwear every day.""
C) ""She should probably avoid taking bubble baths.""
D) ""I'll help supervise her wiping after bowel movements.""

Answer 1

Finall Answer:

The response by the mother that indicates a need for further teaching is B) "I will make sure she changes her underwear every day."

Step-by-step explanation:

This response implies a misconception about the cause of vulvovaginitis. While changing underwear daily is a good hygiene practice, it's not directly linked to preventing this condition.

Vulvovaginitis is often caused by factors like wiping incorrectly (front to back is correct), harsh soaps, or bubble baths. Teaching the mother about these potential triggers and emphasizing proper wiping techniques would be beneficial to prevent further episodes.

Therefore the correct answer is B) "I will make sure she changes her underwear every day."

Answer 2

The mother's statement that the girl 'should probably avoid taking bubble baths' signals a need for further teaching, as avoiding bubble baths is a recommended preventative measure for vulvovaginitis. Option C.

Step-by-step explanation:

The 4-year-old girl with vulvovaginitis requires proper hygiene to prevent subsequent episodes. The responses by the mother that suggest good prevention practices are:

• Wiping from front to back to prevent spreading bacteria from the rectal area to the vagina.
• Changing underwear daily to maintain cleanliness and reduce moisture build-up.
• Avoiding bubble baths which can irritate the vulvar and vaginal areas and disrupt the normal pH balance.

The response option that indicates a need for further teaching is:

• "She should probably avoid taking bubble baths."

This statement might suggest a misconception because avoiding bubble baths is a recommended practice for preventing irritation that could lead to vulvovaginitis.

Hence, the right answer is option C.