Which of the following assessment data would most likely be related to a client’s current complaint of stress incontinence?
A. The client’s intake of 2 to 3 L of fluid per day.
B. The client’s history of three full-term pregnancies.
C. The client’s age of 45 years.
D. The client’s history of competitive swimming.
Correct Answer: B. The client’s history of three full-term pregnancies
The history of three pregnancies is most likely the cause of the client’s current episodes of stress incontinence. The client’s fluid intake, age, or history of swimming would not create an increase in intra-abdominal pressure. Stress urinary incontinence affects 15.7% of adult women; 77.5% of women report the symptoms to be bothersome and 28.8% report the symptoms to be moderate to severe.
Option A: Stress urinary incontinence (SUI) is the involuntary, sudden loss of urine secondary to increased intraabdominal pressure that is bothersome or affecting the patient’s quality of life. Physical activities precipitating SUI include laughing, sneezing, straining, coughing, or exercising.
Option C: Prevalence of stress urinary incontinence will increase with age particularly with menopause. One study found that 41% of women older than 40 years old will have urinary incontinence. Up to 77% of elderly females in nursing homes will have urinary incontinence. In one study, only 60% of women with incontinence sought treatment.
Option D: A thorough history includes questions about precipitating events, fluid intake pattern, nocturia, type of protective devices used (tampons/pads/diapers), past medical/surgical history, and transient causes (UTIs, hypoestrogenism, cholinergic medications, diabetes, diuretics, psychological stress).
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