A pregnant client has been instructed on prevention of genital tract infections. Which statement indicates understanding?

• A. I should wear underwear with a cotton panel liner.
• B. I can douche anytime I want.
• C. I should avoid the use of condoms.
• D. I can wear my tight-fitting jeans.

Answer: (A)

Preventing genital tract infections during pregnancy relies on keeping the genital area dry, breathable, and free from irritants. Wearing underwear with a cotton panel liner helps because cotton allows airflow and absorbs moisture, reducing the warmth and dampness that promote yeast and bacterial growth.

Douching is not advised because it disrupts the natural vaginal flora and can push bacteria toward the uterus, increasing infection risk. Condoms are protective against sexually transmitted infections, so avoiding their use would not prevent infections. Tight-fitting jeans trap heat and moisture in the groin area, which can irritate the skin and promote infection; looser, breathable clothing is preferable.