A 20-year-old female client is pregnant for the first time. The client is a marathon runner and has been on a rigorous exercise and training program. The client asks the midwife if she could still exercise while pregnant. Which of the following statements by the midwife is the most appropriate for the client?
  1. “You should stop exercising when pregnant as it can cause miscarriage or intrauterine growth retardation.”
  2. “If you are an athlete, you may proceed with your pre-pregnancy exercise program without limitations.”
  3. “You may continue exercising, but make sure to decrease the intensity of exercises. You may return to your pre-pregnancy exercise program two weeks after delivery.”
  4. “You should modify the intensity and type of your exercises. Non-weight-bearing exercises are recommended.”
Explanation
Answer: D - The client may still exercise as long as the intensity and type of exercises are modified and that non-weight-bearing exercises are incorporated into the exercise program. If a client is used to exercising before pregnancy, she may incorporate non-weight-bearing exercises, such as swimming or water aerobics, into the program. These exercises are non-impact activities and can decrease the risk of injuries. The client may return to her pre-pregnancy exercise program about six weeks after the delivery to give her body sufficient time for recovery.
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