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.

A. Respiratory rate of 36 breaths/minute at rest. B. Appetite slowly increasing. C. Temperature above 37.7° C (100° F). D. New, frequent coughing. E. Turning blue or bluer than normal.

Correct Answer is ["A","C","D","E"]

Explanation

The correct answer ischoices A, C, D, and E.

Choice A rationale:

A respiratory rate of 36 breaths/minute at rest is concerning in a pediatric client, as it may indicate respiratory distress or an underlying respiratory condition.

Choice B rationale:

An increasing appetite is generally a positive sign and not typically concerning unless accompanied by other symptoms.

Choice C rationale:

A temperature above 37.7° C (100° F) is concerning as it indicates fever, which could be a sign of infection or other medical conditions.

Choice D rationale:

New, frequent coughing is concerning as it may indicate respiratory infections, asthma, or other respiratory issues.

Choice E rationale:

Turning blue or bluer than normal (cyanosis) is a serious symptom indicating inadequate oxygenation and requires immediate medical attention.

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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

A nurse is conducting discharge teaching to parents about the care of their infant after cardiac surgery. The nurse instructs the parents to notify the physician of what conditions occur. (Select all that apply.).

Correct Answer is ["A","C","D","E"]

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?