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:
It is not inappropriate because of the child's age. Simple magic tricks, especially those using familiar items like gauze, can capture the attention and cooperation of young children. Age-appropriate distractions can be highly effective in engaging pediatric patients during medical procedures.
Choice B rationale:
Using a simple magic trick with gauze is a way to establish rapport with the child. Children often respond well to creative and playful approaches, making them feel more comfortable and cooperative during medical procedures. Establishing rapport is crucial for gaining trust and ensuring a positive healthcare experience.
Choice C rationale:
It is not too distracting when cooperation is important. Distractions, when used judiciously, can enhance cooperation during medical procedures. The key is to strike a balance between engaging the child and ensuring the procedure's effectiveness. A simple magic trick with gauze is generally not overly distracting and can be a helpful technique in pediatric nursing.
Choice D rationale:
Adequate time is important, but the appropriateness of the magic trick is not solely dependent on time. While having adequate time is beneficial for implementing creative approaches, the effectiveness of using a magic trick depends more on the nurse's skill, the child's response, and the overall context of the situation.

A. Use maternity jargon in order for the patient to become familiar with these terms. B. Speak quickly and efficiently to expedite the visit. C. Provide the patient with handouts. D. Assess whether the patient understands the discussion.

Correct Answer is D

Explanation

Choice A rationale:

Using maternity jargon might confuse the patient, especially if she has limited English proficiency. It is important to use simple and clear language to ensure the patient understands the information. Using jargon would not be effective in this situation.

Choice B rationale:

Speaking quickly and efficiently may further complicate communication, especially considering the patient's limited English proficiency. It is crucial to speak slowly, clearly, and allow time for the patient to process and respond. Rushing the conversation may hinder effective communication.

Choice C rationale:

Providing handouts can be helpful, but it should not be the sole method of communication, especially when dealing with a patient who has limited English proficiency. Handouts may not be available in the patient's language or may not address her specific concerns. Assessing direct understanding through conversation is essential.

Choice D rationale:

Assessing whether the patient understands the discussion is the most crucial step. This can be done through various methods, such as asking open-ended questions, using interpreters if necessary, and encouraging the patient to ask questions. Ensuring the patient comprehends the information provided is vital for her overall care and adherence to medical advice.

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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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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?