CPM Certified Professional Midwife

Answer: A - The least effective strategy in relieving back pain is walking with the pelvis tilted backward. The client must be instructed to walk with the pelvic tilted forward because this position puts pelvic support under the weight of the fetus. As pregnancy advances, females develop lumbar lordosis, a condition in which lower back’s curvature increases. Lumbar lordosis causes a change in posture to maintain balance, resulting in back pain. Wearing shoes with low to moderate heels reduces the spinal curvature. Pelvic rocking is an exercise that relieves back pain. Sleeping on a firm mattress also alleviates back pain. To achieve a firmer sleeping surface, the client may slide a board under her mattress.