Exam 3 Week 6 Pregnancy Flashcards

1
Q

are all women happy to be pregnant?

A

no, you need to consider that some may be fearful or upset.

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2
Q

exercising during pregnancy can decrease health risks such as

A

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

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3
Q

does exercise make labor shorter or longer

A

shorter

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4
Q

what does exercise do to recovery, after delivery

A

decreases it

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5
Q

what happens to glucose production and insulin secretion

A

increases 30% in the third trimester.

insulin increases

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6
Q

what happens to circulating blood glucose and why

A

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

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7
Q

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

A
  • rescued liver storage of glucose,
  • muscle glucose uptake decreases by 40%,
  • type IIb fiber concentration are elevated in obese women.
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8
Q

what is the cardiovascular response to exercise

A
peripheral resistance decreases, 
resting HR increases 15 bpm
HR max decreases 
HRR reduces 
increase in blood volume and CO and SV
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9
Q

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

A

35-60%
12-16 RPE

45-60%
13-16 RPE

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10
Q

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

A

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

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11
Q

TF: if a women was active, she should continue her level of activity

A

true

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12
Q

program design for a pregnant lady :

frequency

A

3-4x a week

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13
Q

what is the intensity a pregnant women should exercise at

A

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

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14
Q

what should the exercise duration be

A

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

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15
Q

what are some recommended exercises

A

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

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16
Q

what are some exercise precautions (6)

A
contact sports, 
increased risk falling 
hot/humid conditions
hot yoga
high altitudes
aviod supine
17
Q

what are the (7) reasons to terminate exercise

A
dizzy/faint
bleeding
calf pain 
chest pain 
painful contractions (6-8+ hours)
gush from vagina 
decreased fetal movement
18
Q

what are some relative contraindications for exercising while pregnant

A

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

19
Q

what are some absolute contraindications

A

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

20
Q

what are (4) common post part findings

A

weight retention, fatigue, sleep deprivation, and depression

21
Q

what are the benefits of post parts exercise

A
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
22
Q

how soon after delivery can you begin exercise

A

4-6 weeks after vaginal delivery

8-10 weeks after C-section

23
Q

what is the PAG for minutes per week

A

150 moderate

24
Q

what is the aerobic exercise recommendation

A

20-30 minutes of walking initially

25
Q

what is the postpartum strengthening muscles.

A

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

26
Q

why do postpartum women have lower bone density

A

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

27
Q

why is strengthening the pelvic floor important

A

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

28
Q

TF: heavy activity may increase lactate levels

A

true

29
Q

what will the return to physical activity depend on

A

prior level of fitness
complications during. pregnancy
mode of delivery

30
Q

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

A

3 L

3.8 L (when lactating)