class 6: other systems 2 Flashcards
what position do we avoid in pregnancy
Avoid supine hypotensive syndrome
what is the average weight gain in pregnancy
25-35 lbs. essential for baby’s nourishment.
what sidelying do we like
left side lying
Postural changes: preg
Forward head, kyphosis, increased lordosis, anterior pelvic tilt
Postural stress continues even postpartum due to lifting and
carrying of baby
do you go to the bathroom more then 8 times a day - what kind of incontinence if yes
urge
treatment for Postural changes seen with preg
Postural education, stretching of tight muscles and strengthening of
weaker ones, pelvic stabilization exercises, pelvic tilts
BP throughout preg
decreased in first and second trimester and increases in the last trimester
Supine-lying and preg
can cause compression of inferior vena cava (after 4th month).
This declines cardiac output and may cause supine hypotensive syndrome
(No supine lying after 1st trimester)
Resting HR increases by what in preg
increases by 10-20 beats/min.
Left side-lying - preg
is considered the best as it decreases compression
of inferior vena cava, maximizes cardiac output, decreases GERD
as internal organs are relaxed and improves maternal and fetal
circulation
what happens to the ligaments in preg
they get more lax because of the hormone relaxin
therefore in PT intervention we have avoid hyper extension
what is Preeclampsia
Pregnancy induced acute hypertension after the 20th week of
gestation
Increase in protein in urine, hyperreflexia, edema, headache,
sudden weight gain seen
It is an emergency!
what is the BP reading for Preeclampsia
A blood pressure reading more than 140/90 mm Hg.
Second abnormal blood pressure reading four hours after the first
confirms the diagnosis
what is the max time a preg person should lie in supine
5 mins
Vaginal bleeding -preg
Contraindications to Exercise
what is Placenta previa after 26 weeks gestation:
placenta is located on the uterus position in which it may
detach before the baby is delivered
Contraindications to Exercise
what happens to CO and blood volume during preg
both increase
exercise and Maternal type I diabetes
Contraindications to Exercise
Treatment for Diastasis Recti
head left
head lift with PPT
Treatment for Diastasis Recti - head lift
Patient is in hook-lying position and crosses arms around the stomach area for support.
Have client exhale and lift only the head off the floor while at the same time, using her hands to gently approximate the rectus muscles toward midline, then lower the head slowly and relax
Treatment for Diastasis Recti - head lift and pelvic tilt
Patient is positioned in hook-lying. Arms are crossed over the diastasis for support as described in the “head lift” exercise.
Have patient slowly lift only the head off the floor while approximating the rectus muscles and performing a posterior pelvic tilt, then slowly lower the head and relax.
what is Gastroesophageal Reflux Disease (GERD)
Reflux of gastric content of the gastroduodenal
contents into the esophagus.
what are the sym of GERD
- Heart Burn- 30 minutes after eating and at night lying down
- Dysphagia
- Sour Taste- from regurgitation of acids
- Hoarseness of voice
- Atypical pain of the head and neck
Complications seen with GERD
- Aspiration pneumonia, asthma
- Esophagitis