To increase the tone and sensation of the pelvic floor for a female client, the nurse teaches:
1. Kegel exercises
2. Vaginal dilation
3. Stop-start techniques
4. Sensate focus exercises
ANS: 1
Kegel exercises increase the tone and sensation of the pelvic floor (pubococcygeus muscle) for the female client. Vaginal dilation will not increase the tone and sensation of the pelvic floor. Stopping urination may help identify proper muscle contraction, but once the muscle is identi-fied, Kegel exercises should not be repeated during urination. Stopping urination midstream may create a backflow of urine into the bladder, predisposing a person to infection. Sensate focus ex-ercises do not increase muscle tone.
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