The most common cause of vaginal inflammation and discharge in ...

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The most common cause of vaginal inflammation and discharge in teenage girls is:
 
  1. Bacterial vaginosis.
   2. STIs.
   3. Urinary tract infections.
   4. Vulvovaginitis.

Question 2

A 13-year-old girl has been brought to the outpatient clinic with complaints of pain in her vaginal region after being sick with Influenza A for the last week. The girl states that she can see a raised edge, and it is oozing..
 
  The nurse should anticipate: 1. Providing a Sitz bath and ice.
   2. Providing education about proper hygiene to the area.
   3. Placing a Foley catheter for urination in order to keep the area clean.
   4. Educating the girl about not wearing cotton underwear.

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Answer to Question 1

1
Feedback
1. Common in this age range and about one-third of cases resolve on their own.
2. STIs would not resolve on their own and have an increased severity.
3. Urinary tract infections do not resolve on their own and usually do not cause vaginal inflammation.
4. Prepubescent girls more commonly have vulvovaginitis than teens.

Answer to Question 2

3
Feedback
1. A Sitz bath may introduce more bacteria to the area and should not be provided.
2. Proper hygiene is important, but not the primary course of action at this point.
3. A Foley catheter will help keep the area clean and reduce the risk of bacteria in the area.
4. The girl should be wearing cotton underwear.

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