Prenatal And Natal Exercises

Question 1

1st trimester

Answer 1

Implantation of eggs in 7-10 days
Frequent urinationation
Fatigue
Breast and weight gain
Emotional changes
End of 12 weeks=20g/6-7cm

Question 2

2nd trimester

Answer 2

Pregnancy shows
On 20th week movements are felt
Nausea and fatigue often disappears
Growth of eyebrows lashes and nails
19-23cm and 600g

Question 3

3rd trimester

Answer 3

Uterus enlarged and regular contractions
Frequently urination
Back pain
Fatigue
Edema on legs
Shortness of breath
Constipation
33-39cm
3400g

Question 4

Musculoskeletal changes in Prenatl and natal

Answer 4

Pelvic floor dysfunction
Nerve compression
Costal pain
Joint laxity
Pregnancy related osteoporosis
Patellafemoral pain
De quervan syndrome
Restless leg syndrome

Question 5

Postural changes

Answer 5

Scapular protraction
Shoulder in IR
Cervical lordosis
Head anterior tilt
Gravity center shift up and forward
Lumbar lordosis
Knee Hyperextension

Question 6

Changes with Ribcage

Answer 6

Transverse diameter decreases
Diaphragm elevated
Excessive load on costovertebral and costitransverse joints
Increase in subcostal angle
Costal pain
Reduced chest wall compliance and total respiratory compliance

Question 7

Changes with Ribcage

Answer 7

Transverse diameter decreases
Diaphragm elevated
Excessive load on costovertebral and costitransverse joints
Increase in subcostal angle
Costal pain
Reduced chest wall compliance and total respiratory compliance

Question 8

Abdominal changes

Answer 8

Decrease M.strenght
Effect on pelvic stability
Change in pennation angle
Diastasis re ti abdominis

Question 9

Diastasis rectify abdominis

Answer 9

2nd and 3rd trimesters
The separation of rectus abdominis

Question 10

Linea alba assessed in diastasis recti abdominis

Answer 10

Umbilical level
8 to 10 cm above
8 to 10 cm below

Question 11

Risk factors for DRA

Answer 11

⬆️ age
⬆️ weight
Multiple pregnancy
Ethnicity
Multiparity

Question 12

Pelvic floor changes

Answer 12

2.5cm collapse
⬇️ M.strength
⬇️ stability
Pelvic pain
Incontinence

Question 13

Joint mobility

Answer 13

⬆️ relaxin hormone more in 1st trimester
Ligamentous laxity
Pubis ramus separation
SIJ and symphysis pubis dysfunction

Question 14

Fluid retention

Answer 14

⬆️ In 3rd trimester
Increase mast cell activities (fluid retaining cells)
Edema
Nerve compression
Strain on kidney
Pre-eclampsia

Question 15

Circulatory changes

Answer 15

Hemorrhoids
M.cramps
Thrombosis
Thromboembolism
Varicose veins in leg and vulva

Question 16

Gait of pregnancy women’s

Answer 16

Waddling

Question 17

Definite contraindications

Answer 17

Vaginal bleeding
Pre-eclampsia
Cervical insufficiency
Membrane rupture
Risk of premature birth
History of miscarriage
Severe Anemia
Placenta previa after 26th weeks

Question 18

Relative contraindications

Answer 18

Anaemia
Extreme fatigue
Heavy smoker
Poor controlled hypertension and type 1 diabetes
Orthopedics limitations
Systemic infection
Extreme morbid obesity or underweight

Question 19

Scale used to determine intensity of exercises

Answer 19

Borg rating of perceived exertion scale

Question 20

Which position is preferred for uterine anteversion

Answer 20

Forward leaning instead of supine lying