quiz #3- pregnancy
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quiz #3- pregnancy
physiological adaptation and exercise benefits during pregnancy
What are the different systems that adapt during pregnancy?
What are some enlarged glands in pregnancy?
adrenal, thyroid, parathyroid
What hormones increase in pregnancy?
progesterone (if stop increasing at 10-12 wk, have miscarriage)
What's teh difference between glucose intolerance adn gestational diabetes?
intolerance = 1 abnormal level
diabetes = 2 abnormal levels
What are some characteristics about gestational diabetes?
33-50% probability in subsequent pregnancies
50% increase in lifetime risk
increase risk of HTN
increase incidence in larger babies and obesity in the kids
What are characteristics of preeclampsia?
increase in swelling
BP steadily rising
What increases and decreases in the CV system with pregnancy?
: blood volume 40-50% by 32-34 wks, cardiac output (SV, and RHR by 15%)
: maxHR, PV resistance, SBP decreases 10 mmHG, DBP decreases 15 mmHG
What are some characteristics of supine hypotension syndrome?
supine symptoms of hypotension
will usually have to lay on L side because of compression of infereior vena cava
influenced by fetus size, maternal and fetal position
verbally screen in supine position
What are some symptoms of supine hypotension syndrome?
Increase in HR
decrease in pulse pressure in spine
What are some increases and decreases in the respiratory system due to pregnancy?
: tidal volume, respiratory rate, oxygen consumption
: airway resistance; total, residual, and functional volume
What are some changes to the neuromusculoskeletal system due to pregnancy?
muscle and joint pain
nerve entrapment syndromes
pregnancy related osteoporosis
increase risk in ankle sprains and knee injuries if continue exercising
What are some benefits to the mother to continue exercising during pregnancy?
decrease BP, body fat, insulin needs, musculoskeletal pain
improved glucose tolerance
What are some benefits to the fetus with exercises during pregnancy?
decreased birth weight, body fat and body mass
follow up studies show the kid weighs less, decrease sum of skin folds and less upper arm fat
decreases incidence of obestity/DM
What are some absolute contraindications to exercise during pregnancy?
hemodynamically significant heart disease
restrictive lung disease
incomptetent cervix or cerclage
persistent 2nd and 3rd trimester bleeding
placenta previa (after 26 wks)
premature rupture of membrances
What predictors of pre term labor can make an exception to absolute contraindications?
: increases 7-10 days before labor so can check that with bloodwork
: do vaginal exam and check cervix
What are some relative contraindications to exercising while pregnant?
unevaluated maternal cardiac arrythmia
poorly controlled type I DM
extreme morbid obesity
extremely underweight (BMI <12)
intrauterine growth retardation
poorly controlled HTN
What should teh exercise prescription be during pregnancy?
consult MD, screen for contraindications, PARmed-X for pregnancy
mode, frequency, and intensity based on pre-exercise level
educate pt on
: heat dissipation, adequate fluid intake, when to reduce exercise (RPE), when to stop exercise