The nurse-midwife is teaching a group of women who are pregnant, including instruction on Kegel exercises.
Which statement by a participant would indicate a correct understanding of the instruction?
I will only see results if I perform 100 Kegel exercises each day.
I should hold the Kegel exercise contraction for 10 seconds and rest for 10 seconds between exercises.
I should only perform Kegel exercises in the sitting position.
I will perform daily Kegel exercises during the last trimester of my pregnancy to achieve the best results.
The Correct Answer is B
Choice A rationale:
Performing 100 Kegel exercises each day is not necessary and might lead to muscle fatigue. The number of exercises can vary from person to person. Quality is more important than quantity when performing Kegel exercises.
Choice B rationale:
This statement indicates a correct understanding of Kegel exercises. Holding the contraction for 10 seconds and then resting for 10 seconds between exercises is a common and effective technique. Kegel exercises help strengthen the pelvic floor muscles, which can be beneficial during pregnancy and after childbirth.
Choice C rationale:
There is no requirement to perform Kegel exercises only in the sitting position. These exercises can be done in various positions, such as sitting, standing, or lying down, depending on the individual's comfort.
Choice D rationale:
Performing Kegel exercises throughout pregnancy, starting early and continuing postpartum, can provide optimal benefits. There's no need to wait until the last trimester to start these exercises. Regular practice can help improve pelvic muscle tone and prevent issues such as urinary incontinence.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is A
Explanation
The correct answer is Choice A.
Choice A rationale: Increasing the caloric density of an infant's formula provides more calories in a smaller volume, reducing the energy expenditure required for feeding. This approach ensures the infant receives adequate nutrition while managing heart failure symptoms effectively.
Choice B rationale: Feeding an infant every 2 hours can lead to feeding intolerance and fatigue. Infants with heart failure often have limited energy reserves and need longer intervals between feedings to conserve energy and improve feeding effectiveness.
Choice C rationale: Increasing the amount of formula per feeding can overwhelm an infant with heart failure, leading to fatigue and decreased feeding efficiency. Smaller, frequent feedings with higher caloric density are more effective in providing necessary nutrients.
Choice D rationale: Placing a nasal oxygen cannula on an infant during feeding is not a standard recommendation for managing heart failure. While oxygen therapy may be necessary for some infants, it is not specifically tied to feeding practices and should be used based on individual clinical assessments.
Correct Answer is A
Explanation
Choice A rationale:
Weighing the infant every day on the same scale at the same time is crucial in monitoring excess fluid volume in congestive heart failure. Sudden weight gain can indicate fluid retention, a common sign of worsening heart failure. Daily weight monitoring helps in early detection and timely intervention.
Choice B rationale:
Notifying the physician when weight gain exceeds more than 20 g/day might be too late for intervention. Daily weight monitoring is essential to detect trends and intervene promptly to manage excess fluid volume.
Choice C rationale:
Placing the infant in a car seat to minimize movement is not directly related to managing excess fluid volume in congestive heart failure. It is essential for safety during transportation but does not address the nursing diagnosis.
Choice D rationale:
Administering digoxin as ordered by the physician is a medical intervention for congestive heart failure. While important, the nursing diagnosis is related to excess fluid volume, and the focus should be on nursing interventions such as monitoring daily weights.
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