A nurse is reinforcing discharge instructions to a client who is 24 hr postpartum and has reported urge incontinence.
Which of the following should the nurse reinforce as a first referral to treat the client?
Referral to pelvic floor physical therapy.
Referral to a urologist.
Referral to sports medicine.
Referral to a primary care physician.
The Correct Answer is A
Choice A rationale
Pelvic floor physical therapy helps strengthen the pelvic floor muscles, which can significantly reduce or eliminate urge incontinence in postpartum clients. These specialized exercises target muscle control and bladder function, providing a non-invasive first-line treatment.
Choice B rationale
A urologist specializes in the urinary tract system, but referral is usually not the first step. Initial non-invasive interventions, such as pelvic floor therapy, are typically recommended before consulting a specialist.
Choice C rationale
Sports medicine focuses on physical fitness and the treatment of sports-related injuries. It is not the appropriate referral for treating postpartum urge incontinence, which specifically involves the pelvic floor muscles and urinary system.
Choice D rationale
A primary care physician can provide general medical care, but specialized interventions like pelvic floor therapy are more effective for addressing the specific issue of urge incontinence postpartum.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Choice A rationale
History of cocaine use increases the risk for placental abruption but is not a direct risk factor for ectopic pregnancy.
Choice B rationale
History of pelvic inflammatory disease (PID) is a significant risk factor for ectopic pregnancy due to the damage and scarring it can cause to the fallopian tubes, leading to implantation outside the uterus.
Choice C rationale
History of three previous cesarean births increases the risk of uterine rupture or placenta previa but not specifically ectopic pregnancy.
Choice D rationale
History of hypertension is not directly related to the risk of ectopic pregnancy; it is more associated with complications like preeclampsia and gestational hypertension.
Correct Answer is A
Explanation
Choice A rationale
Nonprescription medications can still have adverse effects on pregnancy and should be taken only with a healthcare provider's approval. This indicates a need for further teaching about safe medication use during pregnancy.
Choice B rationale
Reducing stress is beneficial during pregnancy and shows an understanding of healthy gestational changes. Stress management can positively impact maternal and fetal health.
Choice C rationale
Monitoring weight gain during pregnancy is important for maternal and fetal health. Appropriate weight gain supports healthy development and reduces the risk of complications.
Choice D rationale
Consulting with a doctor before using home remedies for nausea is a good practice. It ensures that the remedies are safe and appropriate for use during pregnancy.
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