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
Choice A rationale:
The medication, Methylergonovine 0.2mg IM, is contraindicated due to the client's blood pressure. The patient's blood pressure reading is 155/95 mmHg, which indicates hypertension (high blood pressure). Methylergonovine is a medication used to manage postpartum hemorrhage by causing uterine contractions and reducing bleeding. However, it is contraindicated in patients with hypertension because it can significantly raise blood pressure, leading to complications such as stroke, heart attack, or hypertensive crisis. Administering this medication to a patient with high blood pressure can worsen their condition and pose serious risks.
Choice B rationale:
The multigravity (G-5) of the client (having had 5 pregnancies) is not a contraindication for Methylergonovine. The number of pregnancies a patient has had does not impact the contraindication criteria for this medication.
Choice C rationale:
The client's drug allergy to penicillin is not a contraindication for Methylergonovine. Allergies to specific medications do not affect the use of Methylergonovine for postpartum hemorrhage.
Choice D rationale:
The client's heart rate, which is not provided in the medical chart, does not directly contraindicate Methylergonovine. However, hypertension (elevated blood pressure) is the primary concern in this scenario, making choice A the correct answer.
Correct Answer is ["A","B","D","E"]
Explanation
Choice A rationale:
Identification of fetal heartbeat (Choice A) is a positive sign of pregnancy. This can be detected using a Doppler device or ultrasound, confirming the presence of a living fetus.
Choice B rationale:
Palpation of fetal outline (Choice B) is another positive sign of pregnancy. Experienced healthcare providers can palpate the fetus through the abdominal wall, feeling its shape and movements.
Choice D rationale:
Verification of fetal movement (Choice D) is also a positive sign of pregnancy. Feeling fetal movements, known as quickening, is an indication of a viable pregnancy.
Choice E rationale:
A positive human chorionic gonadotropin (hCG) test (Choice E) confirms pregnancy. hCG is a hormone produced by the placenta and is present in the blood and urine of pregnant women.
Choice C rationale:
Visualization of the fetus (Choice C) through methods like ultrasound is a positive sign of pregnancy, but it is not typically used for diagnosis in early pregnancy. Palpation of fetal outline and identification of fetal heartbeat are more reliable positive signs.
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