Practice Quiz

CPM Certified Professional Midwife

Category - Midwifery Counseling and Education

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A midwife is teaching a pregnant client safe techniques for exercising. Which of the following teachings is not a safe way of exercising when pregnant?
  1. Point the toes when exercising.
  2. Avoid exercises that hyperextend the lower back.
  3. Avoid practicing second stage pushing.
  4. When rising from the floor, roll over to the side first and then push up.
Explanation
Answer: A - The client must be taught not to point the toes when doing leg exercises. During pregnancy, the relaxin levels increase, causing the arch of the foot to fall. Extending the heel may cause pain and may impede venous return. Hyperextending the lower back may cause muscle strain. Practicing second stage pushing may increase intrauterine pressure and cause rupture of membranes. The client must roll over to the side first and then push up when rising from the floor to avoid straining the abdominal muscles.
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