The nurse is developing a teaching plan for a postmenopausal woman who has stress incontinence secondary to a prolapsed uterus

Question

The nurse would include which interventions in the teaching plan? Note: Credit will be given only if all correct choices and no incorrect choices are selected. 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

Answer 1

1,4,5
Rationale 1: Kegel exercises can strengthen perineal muscle tone, reduce urinary leakage, and minimize uterine prolapse.
Rationale 2: Reducing or eliminating caffeine can reduce urinary frequency and urgency.
Rationale 3: Estrogen, not progesterone, supplements can improve perineal muscle tone in postmenopausal women.
Rationale 4: Proper perineal care is essential with stress incontinence to minimize skin irritation and the potential for infection.
Rationale 5: Use of perineal pads allows the patient to return to her normal daily activities.