Ex's Testing & Prescription During Pregnancy Flashcards

1
Q

During pregnancy blood volume _____

A
  • incr 40-50%
  • but Hb decr
  • causes dilation of left ventricle
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2
Q

VO2 Max

A

no change

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3
Q

Ventilation at rest & submax ex’s

A
  • increased RR

- increased tidal volume

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4
Q

Hypoglycemic Response

A

incr during ex’s in late pregnancy

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5
Q

CO

A
  • higher during first 2 trimesters

- lower during 3rd trimester

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6
Q

SNS Response

A

possible blunted response to ex’s in late pregnancy

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7
Q

Fetus:

Moderate Exercise

A

-no effect on O2 delivery to fetus

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8
Q

Ex’s does not increase the incidence of ____

A
  • spontaneous abortion
  • preterm labor
  • fetal distress
  • birth abnormalities
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9
Q

Relative Contraindications to Ex’s

A
  • Hx of preterm labor
  • Anemia
  • Obesity
  • Type 2 Diabetes
  • Very low fitness prior to pregnancy
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10
Q

Ex’s Time

A

-30-40 min

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11
Q

Ex’s Guidelines

A
  • maintain body temp
  • hydrate
  • maintain diet
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12
Q

O2 use at rest and sub max exercise_____ & ______ with weight bearing

A

-slightly higher in supported WB activities and substantially higher in weight bearing activities

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13
Q

HR @ rest & submax

A

Increased

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14
Q

Ex’s Effect on Mom

a. aerobic fitness
b. m fitness
c. psychological well-being
d. return to pre-pregnancy body
e. interventions

A

a. aerobic fitness: incr
b. m fitness: incr
c. psychological well-being: enhanced
d. return: more rapid return to pre-pregnancy body
e. interventions: fewer obstetric interventions

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15
Q

Ex’s Effect on Mom

a. labor
b. weight gain
c. digestion/constipation
d. energy reserve
e. post partum belly
f. back pain

A

a. labor: shorter
b. weight gain: decr
c. digestion/constipation: incr dig, decr constipation
d. energy reserve: incr
e. post partum belly: decr
f. back pain: decr during pregnancy

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16
Q

Well-Conditioned Athletes:

Absolute VO2 Max

A

-in pregnant women VO2 max was incr 36-44 weeks after delivery compared to nonpregnant control group

17
Q

Fetus:

ex’s & birthweight

A
  • towards lower limits of normal range

- associated with decr body fat

18
Q

Contraindications to Ex’s

A
  • type 1 diabetes
  • Hx 2+ spontaneous abortions
  • multiple pregnancies
  • smoking
  • excessive alcohol intake
  • anemia
  • pregnancy induced HTN
  • preterm membrane rupture
  • preterm labor
  • incompetent cervix
  • 2nd/3rd trimester bleeding
  • intrauterine growth retardation
19
Q

Fetus:

Ex’s and HR

A
  • fetal HR incr in response to intensity & duration of ex’s

- (due to NE and Epi in blood from mom)

20
Q

Ex’s Type

A
  • weight supported (swimming)
  • some WB
  • avoid supine ex’s
  • modify for balance
  • no scuba diving
21
Q

How to monitor intensity of ex’s

A
  • use RPE scale (11-13) not HR

- because relationship between HR & VO2 is altered during pregnancy

22
Q

S/Sx to watch for

A
  • bloody discharge or fluid gush
  • sudden ankle/hand/face swelling
  • persistent headache/visual changes
  • unexplained faintness/dizziness
  • phlebitis
  • prolonged elevation of recovery vitals
  • excessive fatigue, palpations, chest pain
  • contractions (>6-8/hour)
  • unexplained abdominal pain
  • insufficient weight gait in last 2 trimesters