pregnancy

Question 1

how much weight gain is normal during pregnancy?

Answer 1

25-35 lbs

Question 2

what are some MSK/postural changes during preganacy?

Answer 2

forward head, anterior pelvic tilt, lordosis, kyphosis, COM shifts anterior

Question 3

what’s the hormone during pregnancy that makes ligaments lax?

Answer 3

relaxin

Question 4

what can you wear for SIJ support?

Answer 4

sacral belt

Question 5

what happens to BP during pregancy?

Answer 5

decreases in 1st and 2nd trimester, increases in 3rd (both systolic and diastolic)

Question 6

what does lying in supine do for pregnant woman?

Answer 6

can cause compression of inferior vena cava (after 4th month, no supine lying after 1st trimester)

do not exceed 5 min in supine

Question 7

what happens to resting HR during pregnancy?

Answer 7

increases by 10-20 bpm

Question 8

what lying position is best for pregnant woman and why?

Answer 8

Left side lying, maximizes CO, decreases GERD and compression on inferior vena cava, relaxes organs

Question 9

what happens to CO and metabolic rate in pregnant women?

Answer 9

increases

Question 10

what happens to fasting blood glucose in pregnant women?

Answer 10

decreases

Question 11

are pregnant woman cold or heat intolerant?

Answer 11

heat

Question 12

does respiratory rate change with pregnancy?

Answer 12

no

Question 13

do pregnant woman take deeper breaths?

Answer 13

yes, depth of respiration increases

Question 14

whats gestational DM?

Answer 14

DM developed during pregnancy. Increased blood glucose during pregnancy, usually goes away after delivery

Question 15

what’s an ectopic pregnancy and what may occur during?

Answer 15

when the fertilized egg is in the fallopian tube instead of uterus. can cause pelvic p! and vaginal bleeding

Question 16

when would eclampsia occur? what can happen?

Answer 16

after delivery, seizures

Question 17

what is preeclampsia and when does it occur?

Answer 17

pregnancy induces acute hypertension after 20th week of gestation/third trimester

may see hyperreflexia, increased protein in urine, edema, headache, sudden weight gain, no seizures

BP > 140/90, a second reading of that after 4 hours confirms dx

Question 18

is preeclampsia an emergency?

Answer 18

yes!

Question 19

whats diastasis recti?

Answer 19

splitting of rectus abdominis from linea alba

Question 20

what do you do if diastasis recti is more than 6 cm?

Answer 20

refer out

Question 21

what do you do if diastasis recti is >4cm?

Answer 21

bracing and breathing exercises

Question 22

what do you do if diastasis recti is between 3-4 cm?

Answer 22

ab bracing with head lift (not the same as a crunch)

progression: add posterior pelvic tilts

Question 23

how do you assess diastasis recti?

Answer 23

pt lays in hooklying, ask them to to curl up, if 2 fingers sink in to line it’s confirmed

Question 24

all abdominal contractions must be performed with an exhalation to minimize…

Answer 24

intra-abdominal pressure

Question 25

what exercises should I avoid with diastasis recti bc they put too much stress on the abdomen?

Answer 25

crunches, situps, double leg lifts, fire hydrants

Question 26

laying supine (increase/decreases) pressure on the inferior vena cava, causing a (increase/decrease) in venous return and CO

Answer 26

increase in pressure

causes decrease in venous return and CO