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. Rubella. B. Measles (rubeola). C. Chickenpox (varicella). D. Exanthema subitum (roseola).

Correct Answer is B

Explanation

Choice A rationale:
Koplik's spots are small white or bluish-white spots with a red halo that appear inside the mouth on the buccal mucosa. They are a characteristic sign of measles (rubeola). Measles is a highly contagious viral infection characterized by fever, cough, runny nose, and a distinctive red rash. The presence of Koplik's spots is a specific diagnostic feature of measles, making choice A incorrect for this scenario.
Choice B rationale:
Koplik's spots are a classic sign of measles (rubeola). These spots typically appear a few days before the onset of the measles rash and are highly indicative of the disease. Measles is a highly contagious viral infection that spreads through respiratory droplets. It is essential to recognize Koplik's spots as they provide an early clue to the diagnosis of measles, enabling healthcare providers to take appropriate precautions and prevent the further spread of the disease.
Choice C rationale:
Chickenpox (varicella) presents with an itchy rash that progresses to fluid-filled blisters. However, Koplik's spots are not associated with chickenpox. Chickenpox is caused by the varicella-zoster virus and is characterized by a widespread rash, fever, and general discomfort. Koplik's spots are specific to measles and do not occur in chickenpox.
Choice D rationale:
Exanthema subitum, also known as roseola, is a viral illness that primarily affects infants and young children. It is characterized by high fever followed by a rash. However, Koplik's spots are not a feature of roseola. The rash in roseola appears after the fever subsides and is typically pink or red, differentiating it from the small white spots seen in measles.

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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

The nurse is performing an assessment on a child and notes the presence of Koplik's spots. In which communicable disease are Koplik's spots present?

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?