Group Fitness Instructor

Category - Participant Safety

You teach a prepartum exercise class twice a week. One member, who is 20 weeks pregnant, pulls you aside and shares her concern about a 15 bpm increase in her resting heart rate. That change in resting heart rate is LEAST likely due to:

  1. An elevation in progesterone and estrogen levels in the blood stream
  2. A newly expanded blood volume
  3. An elevation in follicle stimulating hormone (FSH) levels in the blood stream
  4. An increase in the oxygen cost of weight bearing
Explanation

Answer: C - During pregnancy, a woman’s resting heart rate will elevate as much as 15-20 bpm above her baseline. This is because even in a normal, uncomplicated pregnancy, the body must make adjustments to compensate for a large increase in blood volume (often 40-90% above baseline) and an increase in the cost of bearing weight (because of the sudden increase in body weight). Additionally, rapid alterations in hormone levels, including a dramatic increase in progesterone and estrogen, can increase resting heart rate. Elevated levels of FSH in the blood stream do not affect the resting heart rate.

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