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:

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 {"dropdown-group-1":"A"}

Explanation

Choice A rationale:

The first dose of the immunization for Measles, mumps, and rubella (MMR) is typically given at the age of 1 year. This timing is in line with the recommendations from organizations like the Centers for Disease Control and Prevention (CDC) and the World Health Organization (WHO). Administering the MMR vaccine at this age ensures early protection against these contagious diseases. Delaying the vaccine could put the child at risk, especially considering the highly infectious nature of measles.

Choice B rationale:

Administering the MMR vaccine at 18 months is not in line with the recommended immunization schedule. Waiting until 18 months might expose the child to the risk of contracting these diseases during the gap period, as maternal immunity wanes after the first few months of life.

Choice C rationale:

Administering the MMR vaccine at 2 years is later than the recommended age. Waiting until 2 years could leave the child vulnerable to these diseases during the time between birth and the administration of the vaccine. Early immunization, starting at 1 year, provides essential protection during this critical period.

Choice D rationale:

Waiting until 4 years to administer the MMR vaccine is not in line with the standard immunization schedule. Delaying the vaccine until 4 years of age leaves the child susceptible to these diseases for a more extended period, which is not recommended for preventing outbreaks and ensuring community immunity. The first dose of the immunization for Haemophilus influenzae type B (Hib) is given at the age of 2 months.

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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

Which description of a stool is characteristic of intussusception?

Correct Answer is C

Explanation

The first dose of the immunization for Measles, mumps, and rubella (MMR) is given at the age of dropdown.

Correct Answer is {"dropdown-group-1":"A"}

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?