T3 Pregnancy Final

Question 1

Wat is the average length of a full-term pregnancy? What is the range of gestation?

Answer 1

• 40 weeks (280 days)
• 37- 41 weeks (259 - 287 days)

Question 2

A birth that occurs between the 20th and 37th weeks is a ….

Answer 2

Premature birth

Question 3

What are the time frames in weeks of the first, second, third trimesters?

Answer 3

First: 0 -13 weeks
Second: 14 - 27 weeks
Third: 28 - 40 weeks

Question 4

When is postpartum?

Answer 4

Postpartum commences once placenta is birthed

Question 5

Is doula support covered by OHIP?

Answer 5

No

Question 6

Hormone that is only produced during pregnancy and responsible for guaranteeing the ovaries produce estrogen & progesterone in the first 2 months of gestation.

Answer 6

• Human chorionic Gonadotropin (hCG)

Question 7

Hormone that promotes growth of uterine mm & blood supply. Increases water retention, adipose tissue and skin darkening. Works with oxytocin to initiate labour.

Answer 7

Estrogen

Question 8

Hormone that relaxes uterus, walls of BV, walls of stomach, bowels & ligaments (w/ relaxin).

Answer 8

Progesterone

Question 9

This hormone is produced by ovaries. It relaxes & softens ligaments, cartilage and cervix. It allows for stretch of tissues during pregnancy and facilitates opening of pelvic jts during labour & delivery

Answer 9

Relaxin

Question 10

This hormone is produced by the hypothalamus, released by pituitary glands. It stimulates uterine contractions and is responsible “let down” reflex during breastfeeding. It creates feelings of calmness & well being.

Answer 10

Oxytocin

Question 11

When is the placenta completely formed?

Answer 11

By 12 weeks gestation

Question 12

When does the pregnant px’s blood volume return to normal?

Answer 12

By 6 weeks postpartum

Question 13

BP ____ in 2nd trimester & then ____ in 3rd trimester

Answer 13

• declines, increases

Question 14

Abdominal mx in ___ trimester and ___ trimester is beneficial

Answer 14

• 2nd and 3rd

Question 15

In the third trimester _____ is produced and is the “first food” for the babt

Answer 15

Colostrum

Question 16

Relaxin is present _____ onwards affecting jt & ligaments

Answer 16

10 weeks

Question 17

The breast may be too tender to mx during the first trimester, what else could be done to this area?

Answer 17

• cool towel wraps can be placed to help with px congestion

Question 18

True or false: Abdominal mx is indicated during the first trimester.

Answer 18

FALSE, this is a CI! Can do reflexive techniques instead, for constipation.

Question 19

What is the RMT’s role during the first trimester?

Answer 19

To support the px regarding emotional changes, establish a non-judgemental practice.

Question 20

What are CI for the first trimester?

Answer 20

• No abd mx
• no abd pillow in prone
• no jt mobs to pelvis or sacrum
• no deep pointed pressure or prolonged work on the sacrum
• no over presure ( mid-range gentle passive stretches, low grade jt mobs)
• no full body heat
• no deep work to adductors, inguinal, posterior calf
• ## the only essential oil that is okay to use is lavender

Question 21

What is the quickening, when does it begin?

Answer 21

Quickening is when the baby’s first movements are felt. This begins at 14 - 21 weeks average.

Question 22

Is abdominal mx indicated in the 2nd trimester?

Answer 22

Yes. Do not do deep downward pressure, lift & massage.

Question 23

Px may have _____ in the 2nd trimester d/t lower BP

Answer 23

Orthostatic hypotension

Question 24

When does the lightening stage (baby drops & engages on top of cervix) happen?

Answer 24

Third trimester

Question 25

If you are treating a pregnant, patient in the second or third trimester and you were treating in the supine position what is the correct way to bolster the hip and why?

Answer 25

You should bolster the right hip and this is due to supine hypotension. Also, you should treat in this position for no more than 15 minutes.

Question 26

Weight of the baby and uterine contents, places pressure on the _____ & _____ while in the supine position, causing supine hypotension

Answer 26

Aorta and inferior vena cava

Question 27

If a patient has had a caesarean birth, when can you start to treat in pone?

Answer 27

4 to 6 weeks postpartum after the incision has healed and cleared by MD

Question 28

When providing abdominal massage to a pregnant, patient always massage the abdomen in a ____ to ___ directions, so you are not increasing the diastasis recti

Answer 28

Lateral to medial

Question 29

Relaxin and progesterone commence to soften CT from _____ weeks gestation onwards, and continues until _____ months postpartum

Answer 29

- 10 - 6

Question 30

No stretching to psoas or other hip flexors

Question 31

For non - high risk px’s general broader massage techniques can be used to the sacrum. But sacral jt mobs & deep pointed pressure are CI’d

Question 32

When pregnant an individual cannot have their body temperature exceed____

Answer 32

102.6 degrees Fahrenheit

Question 33

No deep pelvic work pp until ____ weeks pp vaginal birth and ____ weeks pp caesarean birth

Answer 33

- 6 - 8

Question 34

Abdomen can be mx ___ to ___ weeks pp vaginal birth and ___ to ____ weeks pp caesarean bith

Answer 34

- 4 to 6 - 6 to 8

Question 35

Gestational hypertension is defined as BP exceeding ____mm hg after 20 weeks gestation. BP must exceed this number 2x in 6hrs to issue diagnosis.

Answer 35

-140/90

Question 36

When do braxton hicks contractions begin?

Answer 36

Second trimester

Question 37

When might diastasis recti form?

Answer 37

Third trimester

Question 38

In the second semester you should both treat in supine for more than ____ minutes. This is due to …. You should also holster the ___ hip

Answer 38

- 15 - supine hypotension - right