RAT 8 & Pregnancy quiz 4/4/16 Flashcards
Which of the following is NOT a physiologic change associated with pregnancy?
- increased cardiac output
- increased metabolic rate
- increased smooth muscle tone
- increased tidal volume
Increased smooth muscle tone
True / False- The only cause of anemia associated with pregnancy is increased blood volume.
False
True / False- Supine hypotensive syndrome can also present in standing.
True
True/ False- At rest, a pregnant woman’s heart rate should be the same as her resting heart rate before she was pregnant, but with even minimal activity, it will increase more than normal.
False
True / False The pregnant woman’s decreased stroke volume makes up for her increased heart rate resulting in normal cardiac output.
False
Which of the following is NOT a reason that a pregnant woman is at increased risk for stress urinary or fecal incontinence.
- abdominal muscle weakness
- decreased smooth muscle tone
- increased coughing
- weight gain
**there is an increase in mucus in the lungs- causing more coughing
Abdominal muscle weakness
True / False- In a pregnant woman, exercise would be contraindicated if their blood pressure was 142/92
True
True / False- As long as vaginal bleeding is minimal, exercise is OK.
False
True / False- One way to be sure the level of exercise is appropriate is to go to the point of mild shortness of breath as long as it’s not for more than 30 minutes.
False
True / False- For the woman who is on bedrest because of a high risk pregnancy, exercise is generally prescribed to prevent the usual complications of bedrest.
True
True / False- Gestational diabetes is an absolute contraindication to exercise.
False
True / False- Increased maternal core temperature is teratogenic but the fetus is protected if the rise in temperature is caused by environmental heat.
False
True /False- Twin pregnancy is considered low risk as long as there has been no premature labor.
False
True / False- Once the PT has taught the pregnant patient exercise intensity guidelines and pelvic floor exercise, the patient’s PT needs have been met.
False
True / False- A small separation of the linea alba can be normal.
True
True / False- SI pain is common in the pregnant client primarily because of the increased weight on the pelvis.
False- moreso because of relaxin and ligamentous laxity
True / False- A pregnant woman should aim for her heart rate to stay between 140-160 for 30-40 minutes per exercise session in order to obtain cardiovascular benefits.
False- the range of 140-160 is okay but 30 minutes is the cutoff point.
True / False- Bridging is contraindicated during pregnancy because it puts the woman at risk for an air embolism.
False- bridging is only contrindicated post delivery/pregnancy when their is issue with placenta privia - 6 weeks is the guideline before restrting bridging exercise or when bleeding stops (I think)
A woman who was significantly overweight before pregnancy should aim for gaining __________ a woman who was normal weight.
- less weight than
- more weight than
- the same amount of weight as
Less weight than
True / False- The most appropriate response to supine hypotensive syndrome is to help the woman assume a sidelying position in order to get the weight off of her inferior vena cava quickly.
True
You are a PT and you have a runny nose and mild cough. A pt on you schedule is receiving chemotherapy. Which of the following lab values in this pt would be most relevant to whether you should be scheduled to treat him today?
- Platelet count
- White count
- Hemoglobin
- Hematocrit
White count
What is meant by “cancer-related fatigue is a rule-out disorder”?
- Rule out (treat) more urgent MS dysfunction before trying to address the fatigue which is less urgent
- Rule out psychological contributions to fatigue bc exercise won’t help and the pt would need to be referred.
- Rule out metastases being present bc they are usually the real underlying cause of cancer-related fatigue
- Rule out other possible causes of fatigue that could and should be treated medically instead of with exercise
Rule out other possible causes of fatigue that could and should be treated medically instead of with exercise
Primary lymphedema means
- Lymphedema is the pt’s primary PT-related problem
- It is related to disease or disorder of the lymphatics
- It is a complication of other kinds of disorders, such as cancer
- It is likely to be much less severe than other types
It is related to disease or disorder of the lymphatics
What is the most common problem affecting cancer survivors?
- Pain
- Weakness
- Fatigue
- Depression
Fatigue
Compression garments are best used
- To reduce fluid accumulation prior to using bandages
- At the same time as bandages to maximize treatment effect
- In conjunction with mechanical compression
- After bandaging to maintain reduction in limb size
After bandaging to maintain reduction in limb size
Short stretch bandages are
- More effective than long stretch bandages in lymphedema
- Used for a shorter length of time than long stretch bandages
- Interchangeable with long stretch bandages in clinical applications
- Used only for pts who can’t exercise or be active
More effective than long stretch bandages in lymphedema
Which of the following is NOT likely to be part of lymphedema prevention pt instructions?
- Use bug repellent when outdoors to help avoid insect bites
- Don’t wear gloves for gardening b/c they may cause constriction
- Avoid prolonged sun exposure and use sunscreen to prevent burns
- Get blood draws and injections only in uninvolved limbs
Don’t wear gloves for gardening b/c they may cause constriction
Which of the following is not part of FEWS?
- Education
- Wellness
- Follow-up
- Safety
Follow up
The relationship between exercise and immune function is
- Direct (more exercise = more immune function)
- J shaped (most and least exercise = best immune function)
- Inverse (more exercise = less immune fuction)
- Inverted J (moderate exercise = best immune function)
Inverted J (moderate exercise = best immune function)
Which of the following sttement is true?
- There are some risks associated with exercise in cancer patients
- Exercise is appropriate and beneficial for every patient wit cancer
- Exercise reduces fatigue in patients with cancer no matter the cause
- Exercise does reduce fatigue but has few other positive effects
There are some risks associated with exercise in cancer patients
