Exam 3 Week 6 Pregnancy

Question 1

exercising during pregnancy can decrease health risks such as

Answer 1

gestational DM, preeclampsia, LBP and low birth weight baby.

Question 2

what happens to glucose production and insulin secretion

Answer 2

increases 30% in the third trimester.

insulin increases

Question 3

what happens to circulating blood glucose and why

Answer 3

decreases, 10-20%. because there is more glucose, and more insulin to pick it up, so less in the blood

Question 4

what are the 3 physiologic reasons why women fatigue so much easier while pregnant

Answer 4

• rescued liver storage of glucose,
• muscle glucose uptake decreases by 40%,
• type IIb fiber concentration are elevated in obese women.

Question 5

what is the cardiovascular response to exercise

Answer 5

peripheral resistance decreases, 
resting HR increases 15 bpm
HR max decreases 
HRR reduces 
increase in blood volume and CO and SV

Question 6

what percent HRR and what RPE should pregnant women (obese and unaccustomed) exercise around? physically active pregnant women?

Answer 6

35-60%
12-16 RPE

45-60%
13-16 RPE

Question 7

what are the PAG for health women who are not already highly active

Answer 7

1m50 minutes of moderate intensity aerobic activity per week (during and after pregnancy)

Question 8

program design for a pregnant lady :

frequency

Answer 8

3-4x a week

Question 9

what is the intensity a pregnant women should exercise at

Answer 9

NOT PAST THE HR pre-pregnancy
not moderate
RPE around 12-14 (6-7/10)
RT between 12-15 reps.

Question 10

what should the exercise duration be

Answer 10

more than 15 minutes, and max 30. 10-15 minute WU and cool down

Question 11

what are some recommended exercises

Answer 11

walking, stationary bike, swim, yoga, modified pilates, upper body and back, impact (jogging, racquet ball) if they were doing this all before.

Question 12

what are some exercise precautions (6)

Answer 12

contact sports, 
increased risk falling 
hot/humid conditions
hot yoga
high altitudes
aviod supine

Question 13

what are the (7) reasons to terminate exercise

Answer 13

dizzy/faint
bleeding
calf pain 
chest pain 
painful contractions (6-8+ hours)
gush from vagina 
decreased fetal movement

Question 14

what are some relative contraindications for exercising while pregnant

Answer 14

anemia, cardia dysrhythmias, bronchitis, T1DM, extremely overweight, sedentary, HTN, orthopedic, seizes, hyperthyroidism, heavy smoker.

Question 15

what are some absolute contraindications

Answer 15

HD, restricted lung disease, incompetent cervix, at risk pregnancy, 2/3rd term bleeding, placenta prevue, premature labor, ruptured membranes, preeclampsia.

Question 16

what are (4) common post part findings

Answer 16

weight retention, fatigue, sleep deprivation, and depression

Question 17

what are the benefits of post parts exercise

Answer 17

reduces fatigue
improves mood and mental acuity
improves fitness
promotes return to pre-pregnancy weight 
decreases risk of disease
mom interaction and social time 
reduces risk DVT

Question 18

how soon after delivery can you begin exercise

Answer 18

4-6 weeks after vaginal delivery

8-10 weeks after C-section

Question 19

what is the PAG for minutes per week

Answer 19

150 moderate

Question 20

what is the aerobic exercise recommendation

Answer 20

20-30 minutes of walking initially

Question 21

what is the postpartum strengthening muscles.

Answer 21

abdominals and paraspinals, and major groups. even arms and pelvis floor

Question 22

why do postpartum women have lower bone density

Answer 22

the lactation will decrease bone density in the L-spine, so we need to do exercises to improve on bone density.

Question 23

why is strengthening the pelvic floor important

Answer 23

we need this for incontinence, and especially if they want to have another child.

Question 24

TF: heavy activity may increase lactate levels

Answer 24

true

Question 25

what will the return to physical activity depend on

Answer 25

prior level of fitness
complications during. pregnancy
mode of delivery

Question 26

how many liters of water should a pregnant lady have, and how about postpartum

Answer 26

3 L

3.8 L (when lactating)