The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus. The nurse would include which interventions in the teaching plan?
Select all that apply.
1. Kegel exercises
2. increased caffeine intake
3. use of progesterone supplements
4. proper perineal care
5. use of perineal pads
Correct Answer: 1, 4, 5
Kegel exercises strengthen perineal muscle tone, minimize urinary leakage, and minimize descent of the bladder and rectum into the vagina. Proper perineal care is essential with stress incontinence to minimize skin irritation and the potential for infection. Use of perineal pads allows the patient to return to her normal daily activities. Reducing or eliminating caffeine can reduce urinary frequency and urgency. Estrogen supplements can improve perineal muscle tone in postmenopausal women.
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