A client in the first trimester of pregnancy complains of a vaginal discharge and is concerned that the baby is infected. Which instructions by the nurse are appropriate?
Select all that apply.
A) Avoid douching.
B) Keep the vaginal area clean and wear cotton underwear.
C) See the healthcare provider to assess for a vaginal infection.
D) Limit bathing to 2 times a week.
E) Limit dairy products and use lactose-free products whenever possible.
Answer: A, B
One client discomfort seen in the first trimester of pregnancy is increased vaginal secretions. The nurse should instruct the client to keep the vaginal area clean and wear cotton underwear. The nurse should also instruct the client to avoid douching. The nurse should not instruct the client to limit bathing or dairy products; those actions will not decrease vaginal secretions and may offer other risks. The nurse should not suggest that the client has an infection because increased secretions are expected during the first trimester.
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