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 C
Explanation
Choice A rationale:
Ribbon-like stools are not characteristic of intussusception. Intussusception is a medical emergency where one portion of the intestine invaginates or telescopes into another. This condition can lead to intestinal obstruction and compromised blood flow, causing severe abdominal pain, vomiting, and bloody stools. The characteristic stool appearance associated with intussusception is "currant jelly" stools. These stools contain mucus, blood, and sloughed mucosal tissue, giving them a characteristic dark, sticky, and jelly-like appearance. This occurs due to the mixture of blood and mucus within the intestines.
Choice B rationale:
Hard stools positive for guaiac indicate the presence of occult blood in the stool, but this finding is not specific to intussusception. Occult blood in the stool can be a sign of gastrointestinal bleeding from various causes, such as ulcers, gastritis, or colorectal polyps. It is not a characteristic feature of intussusception.
Choice D rationale:
Loose, foul-smelling stools are nonspecific and can occur due to various gastrointestinal disorders, dietary issues, or infections. This description does not specifically indicate intussusception.
Correct Answer is C
Explanation
Choice A rationale:
Most mothers do not have a diet deficient in vitamin K that would result in the infant being deficient. Vitamin K is essential for blood clotting, and it is generally present in adequate amounts in a well-balanced diet.
Choice B rationale:
Vitamin K does play a role in the synthesis of prothrombin, a clotting factor in the liver, but it is not the primary reason for administering vitamin K to newborns. The main reason is the absence of vitamin K-synthesizing bacteria in the newborn's intestinal tract.
Choice C rationale:
The correct answer. Newborns do not have the bacteria in their intestines necessary to produce vitamin K, which is crucial for blood clotting. Without sufficient vitamin K, newborns are at risk of bleeding disorders, including a potentially fatal condition called vitamin K deficiency bleeding (VKDB).
Choice D rationale:
While it's true that the supply of vitamin K from the mother to the baby is limited during pregnancy and breastfeeding, the main reason for administering vitamin K to newborns is the absence of bacteria that can synthesize vitamin K in the infant's intestinal tract.
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