VATI Maternal Newborn Health Promotion and Maintenance Quiz 2 With Answers 2021/2022

Question text A nurse is educating a client on how to perform Kegel exercise therapy for urinary incontinence. Which of the following points should be included in teaching? Select all that apply. Select one or more: a. Have a designated time and place for completing therapy. CORRECT. At first, it is helpful to have a designated time and place to do exercises because the client will need to concentrate to do them correctly. b. Improvement in incontinence may be seen after 6 weeks of exercise therapy. CORRECT. Although improvement may take several months, most clients notice a positive change after 6 weeks of exercises. c. While sitting on the toilet, strain down to help identify pelvic muscles. d. During exercises, tighten pelvic muscles for a count of 10 and then relax for a count of 10. CORRECT. The client should be educated to tighten pelvic muscles for a slow count of 10 and then relax for a slow count of 10. This exercise should be done 15 times while lying down, sitting up, and standing (a total of 45 exercises). The client should then repeat the exercises rapidly contracting and relaxing the pelvic muscles 10 times. This should take no longer than 10 to 12 minutes for all three positions, or 3 to 4 minutes for each set of 15 exercises. e. Complete exercises in only a sitting position. Feedback General Feedback: At first, it is helpful to have a designated time and place to do exercises because the client will need to concentrate to do them correctly. Although improvement may take several months, most clients notice a positive change after 6 weeks of exercises. The client should be educated to tighten pelvic muscles for a slow count of 10 and then relax for a slow count of 10. This exercise should be done 15 times while lying down, sitting up, and standing (a total of 45 exercises). The client should then repeat the exercises rapidly contracting and relaxing the pelvic muscles 10 times. This should take no longer than 10 to 12 minutes for all three positions, or 3 to 4 minutes for each set of 15 exercises. The correct answer is: Have a designated time and place for completing therapy., Improvement in incontinence may be seen after 6 weeks of exercise therapy., During exercises, tighten pelvic muscles for a count of 10 and then relax for a count of 10. Question 2 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is caring for a client immediately following an amniotomy. Which of the following interventions are appropriate? Select all that apply. Select one or more: a. Assess maternal intake and urinary output. b. Document any unusual color in the amniotic fluid. CORRECT: Any color in particular any meconium stained fluid or blood can indicate fetal distress. c. Observe for the presence of an odor in amniotic fluid. CORRECT: The presence of a foul odor in maternal fluid can be an important sign of infection. d. Prepare for an intrauterine pressure catheter (IUCP) insertion. e. Assess fetal heart for rate and variable decelerations. CORRECT: After an amniotomy everything shifts in the uterus and the cord may become compressed. The nurse should immediately assess the fetal heart following the procedure. Feedback General Feedback: The presence of a foul odor in maternal fluid can be an important sign of infection. Any color in particular any meconium stained fluid or blood can indicate fetal distress. After an amniotomy everything shifts in the uterus and the cord may become compressed. The nurse should immediately assess the fetal heart following the procedure. The correct answer is: Observe for the presence of an odor in amniotic fluid., Document any unusual color in the amniotic fluid., Assess fetal heart for rate and variable decelerations. Question 3 Correct Mark 1.00 out of 1.00 Flag question Question text A nurse is educating a client who is scheduled for a nonstress test (NST). Which of the following statements are correct? Select all that apply. Select one or more: a. The NST can easily be performed in an outpatient setting. CORRECT: The NST is a noninvasive test which is easily performed in outpatient settings. b. The NST measures the relationship of the fetal heart rate to fetal movement. CORRECT: The basis of the NST is the principle that the normal fetus will produce characteristic HR patterns in relationship to fetal movement. c. The NST is a primary method of antenatal fetal assessment. CORRECT: In most settings the NST has become an ideal screening test for fetal well being. d. The NST is not useful after 38 weeks gestation. e. The NST is a useful in calculating gestat