Pregnancy

Question 1

What is increases when there is an increase in size of reproduction structures/relaxing

Answer 1

Increased estrogen

Question 2

What increases with there is inhibition of contractions/softening of cervix/relaxing

Answer 2

increased relaxin

Question 3

What increases when there is decreased GI mobility/core temperature

Answer 3

Increased progesterone

Question 4

What increases when there is supression of the immune system?

Answer 4

increase of adrenal hormone cortisol

Question 5

eWhat inscreases when there is lactation/oxygocin release?

Answer 5

Increased prolactin

Question 6

What is the following a defintion of?

• usually occurs after 24 weeks
• uterus can press down on vena cava when lying on back

Answer 6

Supine hypotension syndrome

Question 7

What happens in the renal system during pregancy?

Answer 7

Increased urination & UTI’s

Question 8

What happens in the GI system during pregnancy?

Answer 8

• hypermesis gravidarum
• gastric rhythm disruptions

Question 9

What happens in the musculoskeletal system durng pregnancy?

Answer 9

• weight gain
• posture

Question 10

What happens to gait during pregancy?

Answer 10

• lateral shift over wider BOS “waddle”
• accentuated transverse pelvic rotation

Question 11

What happens do the pelvic floor during pregancy?

Answer 11

• overstretched
• possible trauma during L&D

Question 12

What happnes to rectus abdominus during pregancy?

Answer 12

• stretch of linea alba
• sepatation-diastasis recti

Question 13

What neurvascular changes happen during pregnancy?

Answer 13

• TOS (thoracic outlet syndrome)
• Compression neuropathies

Question 14

What skeletal changes happen during pregnancy?

Answer 14

• Rib cage angle increases (costochondritis)
• bone mineral density decreases

Question 15

What posture changes occur during pregnancy?

Answer 15

• reduced lumbar lordosis
• increased lumbar lordosis & thoracic kyphosis
• flattening of thoracolmbar curve

Question 16

What happens to COG during pregnancy?

Answer 16

shift posteriorly

Question 17

What are the following symptoms of?

• pelvic pressure
• low, dull backache
• menstural-like cramps
• change or increase in vaginal discharge
• uterine contractions every 10 min or more often with or without pain
• intestinal cramping with or without diarrhea

Answer 17

Preterm labor symptoms

Question 18

What neural tests would you do with pregnant indivdiual?

Answer 18

• slump
• SLR test
• femoral nerve stretch test

Question 19

What MSK dysfunction is the following?

• pain/pressure/stiffness at sternocostal joints anteriorly & costotransverse and costovertebral joints posteriorly
• Interventions: STM, joint mobilizations, breath work, core stability

Answer 19

Rib Cage Dysfunction

Question 20

What MSK dysfunction is the following?

• Risk Factors: multiple births, higher BMI, previous hx of back pain
• Lowered risk if other is more physically active/fit prior to pregnancy

Answer 20

Low Back Pain

Question 21

What type of dysfunction is the following?

• sarcoiliac jont dysfunction (can include pubic symphysis)
• Motion testing, position testing, & palpation around SI to help classify

Answer 21

Pelvic Girdle Pain