Week 9 knowledge check NSG 6430 South University
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Question 1.
The nurse practitioner is counseling a patient about midlife health issues in women and
informs the patient that the number one cause of mortality in the United States is
Primary osteoporosis.
Cardiovascular disease.
overweight and obesity.
cancer (of the lung and bronchus, breast, and colon).
Question 2
The nurse practitioner understands that an age-related anatomic change that can lead
to urinary incontinence is:
The shortening of the urethra
The reduction in bladder capacity
The increase in habitual preventative emptying of the bladder
The decline in number of urethral striated muscle fibers
The urethral striated muscle fiber is one of the anatomic structures that prevent urinary
incontinence at the onset of abdominal pressure. The two anatomic structures that prevent
urinary incontinence are; supportive system and sphincteric system. The urethral striated
muscle fiber contributes to the closure of the vesical neck in the urethra to prevent
incontinence. The urethral striated muscle fiber decreases as one age. This will have the
effect of reducing the of the sphincter muscles to stand the abdominal pressure and prevent
urinary incontinence. The shortening of the urethra only occurs in women and this means it
does not happen for men. The change in the bladder capacity is a physiological change and
not an anatomic change. For this reason, the decline in the number of urethral striated
muscle fibers is the cause of urinary incontinence among the aged
3. Pelvic muscle contraction that is strategically timed to increase intraurethral pressure
just before and after the event that causes urinary incontinence?
Kegel contraction
Detrusor maneuver
Reverse bladder contraction
Knack maneuver
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