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.

Answer and Explanation

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.

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Correct Answer is B

Explanation

Choice A rationale:
Koplik's spots are small white or bluish-white spots with a red halo that appear inside the mouth on the buccal mucosa. They are a characteristic sign of measles (rubeola). Measles is a highly contagious viral infection characterized by fever, cough, runny nose, and a distinctive red rash. The presence of Koplik's spots is a specific diagnostic feature of measles, making choice A incorrect for this scenario.
Choice B rationale:
Koplik's spots are a classic sign of measles (rubeola). These spots typically appear a few days before the onset of the measles rash and are highly indicative of the disease. Measles is a highly contagious viral infection that spreads through respiratory droplets. It is essential to recognize Koplik's spots as they provide an early clue to the diagnosis of measles, enabling healthcare providers to take appropriate precautions and prevent the further spread of the disease.
Choice C rationale:
Chickenpox (varicella) presents with an itchy rash that progresses to fluid-filled blisters. However, Koplik's spots are not associated with chickenpox. Chickenpox is caused by the varicella-zoster virus and is characterized by a widespread rash, fever, and general discomfort. Koplik's spots are specific to measles and do not occur in chickenpox.
Choice D rationale:
Exanthema subitum, also known as roseola, is a viral illness that primarily affects infants and young children. It is characterized by high fever followed by a rash. However, Koplik's spots are not a feature of roseola. The rash in roseola appears after the fever subsides and is typically pink or red, differentiating it from the small white spots seen in measles.

A. Weigh the infant every day on the same scale at the same time. B. Notify the physician when weight gain exceeds more than 20 g/day. C. Put the infant in a car seat to minimize movement. D. Administer digoxin as ordered by the physician.

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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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?

Nursing Test Bank

Naxlex Comprehensive Predictor Exams

The nurse is performing an assessment on a child and notes the presence of Koplik's spots. In which communicable disease are Koplik's spots present?

Correct Answer is B

Explanation

Which intervention should be included in the plan of care for an infant with the nursing diagnosis of Excess Fluid Volume related to congestive heart failure?

Correct Answer is A

Explanation

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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?