Childbirth may result in injuries to the vagina and uterus. Pelvic floor exercises also known as Kegel exercises will help to strengthen the perineal muscles and encourage healing
The nurse knows that the client understands the correct process for completing these conditioning exercises when she reports:
a. "I contract my thighs, buttocks, and abdomen."
b. "I do 10 of these exercises every day."
c. "I stand while practicing this new exercise routine."
d. "I pretend that I am trying to stop the flow of urine midstream."
ANS: D
The woman can pretend that she is attempting to stop the passing of gas or the flow of urine midstream. This will replicate the sensation of the muscles drawing upward and inward. Each contraction should be as intense as possible without contracting the abdomen, buttocks, or thighs. Guidelines suggest that these exercises should be done 24 to 100 times per day. Positive results are shown with a minimum of 24 to 45 repetitions per day. The best position to learn Kegel exercises is to lie supine with knees bent. A secondary position is on the hands and knees.
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