The certified nurse midwife is discussing the birth plan with a ...

[jjjetplane]

The certified nurse midwife is discussing the birth plan with a client. Which of the following data would most likely be documented in the plan? Select all answers that apply.
 
  A) The woman's choice of a partner for support during labor
  B) The woman's living will or advance directives
  C) The type of pain relief measures desired
  D) The parents' choice of birth announcements
  E) The outcome of labor and delivery
  F) The woman's feelings about fetal monitoring

Question 2

A nurse is caring for a client with urge incontinence. What should the nurse include in the client education?
 
  A) Tell the client to perform Kegel exercises daily.
  B) Ask the client to decrease fluid intake.
  C) Ask the client to void small amounts frequently.
  D) Tell the client to perform Cred maneuvers.

[meganmoser117]

Answer to Question 1

A, C, F
Feedback:
A birth plan is a written document in which the expectant mother expresses her desires for labor and birth, including partners, pain measures, and fetal monitoring. Advance directives and living wills and the outcome of labor and delivery would be documented in the medical record. Choice of birth announcements would not usually be stated in the plan.

Answer to Question 2

A
Feedback:
The nurse should tell the client to perform daily Kegel exercises to treat urge incontinence. Kegel exercises are designed to increase sphincter tone and to help the client prevent leaking on the way to the bathroom. Decreasing fluid intake concentrates the urine further and increases bladder spasms. The client should not be asked to void small amounts frequently because frequency decreases the functional capacity of the bladder, thereby weakening the detrusor muscle. Cred maneuvers are used to manage overflow incontinence, not urge incontinence.