Author Question: A pregnant woman is complaining of urinary frequency and is worried about incontinence. Which ... (Read 39 times)

ishan · **on:** Jun 28, 2018

A pregnant woman is complaining of urinary frequency and is worried about incontinence. Which teaching strategy should the nurse use when counseling this woman?

A.
Minimize fluid intake during the day.
B.
Perform sit-ups to strengthen the abdomen.
C.
Teach the woman how to perform Kegel exercises.
D.
Void infrequently to train the bladder.

Question 2

A pregnant woman lifts weights regularly with a partner. What modification to this activity should the nurse suggest?

A.
Adjust the weight bench so that it is tilted, not flat.
B.
Do fewer repetitions by using heavier weights.
C.
Do not hold your breath for more than 30 seconds.
D.
Use free weights instead of resistance bands.

sultansheikh · **Reply #1 on:** Jun 28, 2018

Answer to Question 1

ANS: C
There are several physiological factors that cause urinary frequency and possible incontinence during pregnancy. Kegel exercises can improve both symptoms. The patient should remain well hydrated and void frequently. Sit-ups will not help with urinary frequency.

Answer to Question 2

ANS: A
Lifting from a supine position can cause vena cava syndrome and decreased placental perfusion, so the woman should be instructed to adjust the weight bench to a tilted position. Heavy weights can overload the loosened joints, so using lighter weights with more repetitions is recommended. Holding the breath can cause a Valsalva maneuver, which decreases placental perfusion. Resistance bands are preferred to reduce the likelihood of abdominal injury.