A nurse is teaching a client how to perform Kegel exercises. Which of the following would the nurse include? (Select all that apply.)
A) "Squeeze your rectal muscles as if you are trying to avoid passing flatus.".
B) "Tighten your pubococcygeal muscle for a count of 10.".
C) "Contract and relax your pubococcygeal muscle rapidly 10 times.".
D) "Try bearing down for about 10 seconds for no more than 5 times.".
E) "Do these exercises at least 5 times every hour.".
A, C
Feedback:
To perform Kegel exercises, the nurse would tell the client to squeeze the muscles in her rectum as if she is trying to prevent passing flatus. Then the nurse would tell the client to stop and start urinary flow to help identify the pubococcygeus muscle. Once this is accomplished, the nurse would tell the client to tighten the pubococcygeus muscle for a count of 3, and then relax it. Next the nurse would tell the woman to contract and relax the pubococcygeus muscle rapidly 10 times and try to bring up the entire pelvic floor and bear down 10 times. Finally, the nurse would tell the client to repeat these exercises at least 5 times daily.
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