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What instruction should be included to prevent urinary tract infections in children?

  1. Teach the child to change underwear frequently

  2. Instruct the child to wipe her perineum from front to back after urinating

  3. Encourage the child to drink less fluid

  4. Advise the child to sit in a warm bath regularly

The correct answer is: Instruct the child to wipe her perineum from front to back after urinating

The instruction to wipe the perineum from front to back after urinating is vital in preventing urinary tract infections (UTIs) in children. This practice minimizes the risk of bacteria from the anal region entering the urethra, which can lead to infections. Proper wiping technique is essential, especially in young girls, due to their anatomical structure, which makes them more susceptible to UTIs. Other options may not effectively prevent UTIs. Changing underwear frequently can contribute to hygiene but does not specifically address the route of bacteria entering the urinary tract. Encouraging the child to drink less fluid can actually increase the risk of UTIs, as adequate hydration helps dilute urine and flush out bacteria. Advising regular warm baths might provide comfort, but it does not directly reduce the likelihood of infections and may even pose a risk if soaps and personal care products irritate the genitals.