b. Stress Incontinence. This occurs later in pregnancy. The patient may
actually void on herself. Stress incontinence is caused by the enlarging uterus and
pressure on the presenting part on the bladder. Nursing interventions consist of:
(1) Teaching the mother how to do the Kegel exercise. The Kegel exercise
is the alternate tightening and relaxing of the muscles of the perineum.
Encouraging the mother to wear perineal pads.
(3) Informing the patient to notify the physician so that rupture of the
membranes can be ruled out.