Pregnancy Flashcards

PHYSICAL THERAPY FOR PREGNANCY & POST PARTUM CARE

1
Q

Pregnancy

which hormone is used to confirm pregnancy?

A

Human Chorionic Gonadotropin (HCG)

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2
Q

Pregnancy

pregnancy hormone that increases ligamentous laxity and widens SIJ and pubic symphysis

A

Relaxin

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3
Q

Pregnancy

Abdominal separation at the linea alba

A

Diastesis Recti

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4
Q

Pregnancy

what does progesterone do during pregnancy?

A
  • decreases frequenzy of uterine contraction
  • increases body temp 1/2 degree
  • increases carbs craving
  • relaxes smooth muscle in body → varicose veins, constipation
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5
Q

Pregnancy

what does estrogen do during pregnancy?

A
  • enlarges uterus, breast and genitals
  • increases blood supply
  • increases vaginal PH
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6
Q

Pregnancy

laying supine for long periods of time during the 2nd and 3rd trimester of pregnancy

A

contraindicated

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7
Q

Pregnancy

Modalities that increase body temp greater than 100.8 deg during pregnancy

A

contraindicated

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8
Q

Pregnancy

ultrasound over the pelvis of a pregnant woman?

A

no, contraindicated

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9
Q

Pregnancy

joint erosion caused by staph or strep bacteria nesting in the joint from cherny operation..

A

osteotitis pubis

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10
Q

Pregnancy

respiratory changes during pregnancy

A
  • ↑ RR
  • ↑ rib cage diameter; ribs elevate 2-4 cm (brachial plexus? thoracic outlet syndrome?)
  • diaphragm elevate
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11
Q

Pregnancy

PT Treatment for Pubic Symphysis Separation

A
  • MET to help restore normal alignment
  • Use of binders & belt
  • Stabilization exercises
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12
Q

Pregnancy

Sacroiliac Joint Dysfunction findings

A
  • Standing posture: leg in abduction & ER with c/o pain
  • +hip scouring test
  • +march, forward bend, slump/sit test
  • Tenderness at PSIS, sulcus, piriformis
  • Generalized low back/buttock pain
  • Pain in leg that can extend to knee or ankle
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13
Q

Pregnancy

PT Treatment for Diastesis Recti

A
  • Use of binder
  • Abdominal strengthening
  • Pt education on avoiding activities that increase intra-abd pressure; avoiding valsalva maneuver
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14
Q

Pregnancy

PT Treatment for Sacroiliac Joint Treatment

A
  • SI belt, binders
  • MET to pelvis & SI joint; teach patient self mobs
  • Modification in posture during sitting, sleeping, car, usingcomputer, sexual positions etc.
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15
Q

Pregnancy

PT Treatment for C-section

A
  • TENS for incision pain
  • External colon massage (for constipation)
  • Proper body mechanics
  • Core strengthening
  • C-section scar massage
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