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Chapter 7 Quiz: Exercise and PregnancyACE Group Fitness Instructor Manual1) Which of the following is an absolute contraindication to exercise during pregnancy?Chronic bronchitisBody mass index of 11Heavy smokerRuptured membranesExplanationD. Ruptured membranesThe absolute contraindications to exercise during pregnancy are as follows: hemodynamically significant heart disease; restrictive lung disease; incompetent cervix/cerclage; multiple gestation at risk for premature labor; persistent second- or third-trimester bleeding; placenta previa after 26 weeks of gestation; premature labor during the current pregnancy; ruptured membranes; and preeclampsia/pregnancy-induced hypertension.Slide # 62) ______________ is defined as the partial or complete separation of the rectus abdominis muscle and occurs as the linea alba widens and finally gives way to the mechanical stress of an advancing pregnancy.SymphysitisDiastasis rectiHematocritChondromalaciaExplanationB. Diastasis rectiThis is an accurate definition of diastasis recti, which is among the dysfunctions and irritations that occur during pregnancy and of which a GFI must be aware when working with this population.Slide # 193) When working with pregnant exercisers, which position is typically used to replace the supine position during abdominal exercises?RecumbentProneSide-lyingStandingExplanationC. Side-lyingMany conventional abdominal exercises may be easily modified for the side-lying position. For additional support to the linea alba, the abdominal wall may be splinted with crossed arms and hands. Slide # 244) What should be a new mother’s top exercise priority?Return to pre-pregnancy weightReturn to pre-pregnancy activity levelResuming of Kegel exercises as soon as possibleImproving posture with low-back stretchesExplanationC. Resuming of Kegel exercises as soon as possibleThe first priority for all new mothers is to bond with one’s baby. The second priority is to resume Kegel exercises as soon as possible. The pelvic floor has been traumatized during delivery. There may be severe stretching and possible episiotomy or tears. Kegels can help the healing process.Slide # 255) Which of the following is not a potential benefit to exercise and pregnancy?A.Reduce common prenatal discomfortsB.Increased weight gainC.Promote faster recovery from laborD.Enhance psychological well-beingExplanationB. Investigative studies have suggested that women who exercise during pregnancy experience fewer common prenatal discomforts such as constipation, swollen extremities, leg cramps, nausea, varicose veins, insomnia, fatigue, back pain, and other orthopedic conditions. Pregnant women who exercise have a lower incidence of excessive weight gain and are more likely to stay within the range recommended by ACOG. Exercise also helps to stabilize mood states during pregnancy. Active women have been shown to experience fewer feelings of stress, anxiety, insomnia, and depression—negative emotions that are commonly experienced during pregnancy. Exercise during pregnancy appears to promote a faster recovery from labor. Women who exercise throughout their pregnancies return to activities of normal daily life 40%faster than less-active controls.Slide # 46) Which of the following is not a reason for a pregnant class participant to discontinue exercise and seek medical advice?A.unexplained faintness or dizzinessB.unexplained abdominal painC.Sudden swelling of the ankles, hands, or faceD.increase in breathing rate with increasing exercise intensityExplanationD. Slide # 97.) Which of the following is considered a high- risk exercise during pregnancy?A.Rock climbingB.walkingC.mind-bodyD.Dance based classesExplanationWomen can continue most activities during their pregnancy by using common sense and making appropriate modifications. However, they should avoid any activity that has a potential for impact that may cause abdominal trauma. Additionally, exercises involving a high degree of balance or agility (e.g., gymnastics, rock climbing, and downhill skiing) are not recommendedSlide # 128) How much weight should a woman of normal weight gain during pregnancy according to the Institute of medicine?A.28-40 lbB.11-20 lbC.25-35 lbD.11-20 lbExplanationC. Slide # 159) Which of the following is MOST accurate about carbohydrate utilization and exercise during pregnancy?A.Pregnant women have lower fasting blood glucose levels.B.Pregnant women should not eat frequently.C.Pregnant women utilize carbohydrates at a lower rate.D.Pregnant women have a lower risk of hypoglycemiaExplanationMaternal blood glucose is the fetus’ primary energy source. Several studies have shown maternal blood glucose to drop significantly following vigorous exercise in late gestation (Clapp & Capeless, 1990). This has been cause for concern, since low maternal blood glucose could compromise fetal energy supplySlide # 1710) What is the BEST way to monitor intensity with pregnant participants’ as it most closely correlates to oxygen consumption?A.Talk test.B.Heart rate measurement.C.Target Heart RateD.RPE.ExplanationD. Ratings of perceived exertion (RPE) has been shown to correlate more closely than heart rate to actual measured oxygen consumption during exercise in pregnancy, making it a simple yet effective way to cue intensity.Since it is a subjective rating, it allows for the large variances in exercise capacity that exist in a typical class setting. The RPE scale (6–20) or the “category-ratio” scale(0–10) may be used (Table 7-7). The numbers corresponding to “fairly light” to “somewhat hard” are the recommended range during pregnancySlide # 20 ................
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