CPM Certified Professional Midwife

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.