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 C

Explanation

Choice A rationale:

Magnesium sulfate is not given to improve patellar reflexes and increase respiratory efficiency (Choice A). It is primarily used to prevent and treat seizures (convulsions) in patients with preeclampsia and eclampsia.

Choice B rationale:

Magnesium sulfate does not shorten the duration of labor (Choice B). Its use is not related to the progression of labor but rather to prevent and control seizures in the context of preeclampsia and eclampsia.

Choice C rationale:

Preventing and treating convulsions (Choice C) is the main indication for administering magnesium sulfate in cases of severe preeclampsia and eclampsia. Magnesium sulfate acts as a central nervous system depressant, reducing the risk of seizures in these patients.

Choice D rationale:

Preventing a boggy uterus and lessening lochial flow (Choice D) are unrelated to the use of magnesium sulfate. These concerns are typically managed through uterine massage and other postpartum care measures, not magnesium sulfate administration.

A. Pouring water from a squeeze bottle over the woman's perineum. B. Placing oil of peppermint in a bedpan under the woman. C. Asking the physician to prescribe analgesics. D. Inserting a sterile catheter.

Correct Answer is B

Explanation

Choice A rationale:

Pouring water from a squeeze bottle over the woman's perineum is a common technique used to ease perineal discomfort after childbirth, but it does not address the issue of a full bladder preventing the uterus from contracting normally.

Choice B rationale:

Placing oil of peppermint in a bedpan under the woman is a technique used to encourage relaxation and help the woman empty her bladder spontaneously. The smell of peppermint can stimulate the relaxation of pelvic muscles, making it easier for the woman to urinate. This method is often effective in encouraging postpartum women to empty their bladders, which is important for uterine contraction and preventing postpartum hemorrhage.

Choice C rationale:

Asking the physician to prescribe analgesics may help manage pain but does not directly address the issue of a full bladder preventing normal uterine contractions.

Choice D rationale:

Inserting a sterile catheter is a medical intervention that might be necessary if the woman cannot empty her bladder spontaneously. However, it is typically considered after other non-invasive methods, such as the use of peppermint oil, have been attempted and failed. Inserting a catheter should be done with caution to avoid introducing infection and discomfort to the woman.

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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?

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Naxlex Comprehensive Predictor Exams

Magnesium sulfate is given to women with preeclampsia and eclampsia to.

Correct Answer is C

Explanation

Because a full bladder prevents the uterus from contracting normally, nurses intervene to help the woman empty her bladder spontaneously as soon as possible.If all else fails, the last thing the nurse could try is.

Correct Answer is B

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?