A patient asks her nurse, "Is it okay for me to use a vaginal douche each day when I'm on my period?" The nurse's correct response is:
1. "Douching should be avoided when you're on your period."
2. "Using a douche each day will help prevent vaginal infections from occurring."
3. "During your period, douching will help promote the flow of menstrual secretions."
4. "Regular douching is necessary in order to promote good hygiene."
Correct Answer: 1
Rationale 1: Women should avoid douching during menstruation because the cervix is dilated to permit the downward flow of menstrual fluids from the uterine lining.
Rationale 2: Douching washes away the natural mucus and upsets the vaginal flora, which can make the vagina more susceptible to infection.
Rationale 3: During menstruation, douching may interfere with downward flow of menstrual fluids from the uterine lining.
Rationale 4: Douching as a hygiene practice is unnecessary because the vagina cleanses itself.
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