Deck 24: Womens Health: Obstetrics and Pelvic Floor

Question 1

Which of the following is true about testing for a diastasis recti?

A) The fingertips are placed vertically at the midline of the abdomen (parallel along the linea alba)at the level of the umbilicus to assess the size of the separation.
B) Place the heel of your hand across the abdomen and apply light compression at the level of the umbilicus and have the patient cough.
C) The test is performed with the patient in a hook-lying position and having her perform an abdominal contraction by lifting her head,shoulders,and trunk off the support surface.
D) The fingertips are placed horizontally at the midline of the abdomen (perpendicular to the linea alba)at the level of the umbilicus to assess the size of the separation.

Answer 1

D

Question 2

Which of the following is true about sacroiliac (SI)joint pain experienced during pregnancy?

A) Pain often radiates from the buttock region,distally to the foot.
B) Asymmetrical lower extremity weight-bearing activities aggravate the pain.
C) Resting on a soft support surface typically alleviates the pain.
D) Hypomobility of the SI joint typically is evident.

Answer 2

B

Question 3

Which of the following is an absolute contraindication to participating in an exercise program during pregnancy?

A) Diastasis recti
B) Gestational diabetes
C) Maternal type 1 diabetes
D) Obesity

Answer 3

C

Question 4

During the last trimester of pregnancy,pain in the groin area is often caused by overstretching of the:

A) Broad ligament.
B) Round ligament.
C) Uterosacral ligament.
D) Pubococcygeal ligament.

Question 5

Common postural changes/deviations that develop or become exaggerated during pregnancy include each of the following except:

A) Decreased thoracic kyphosis.
B) Increased internal rotation of the shoulders.
C) Excessive lumbar lordosis.
D) Genu recurvatum.

Question 6

Each of the following is a normal change during pregnancy except:

A) Increased secretion of insulin.
B) Decreased ligamentous stability.
C) Decreased resting heart rate.
D) Increased thyroid activity.

Question 7

During pregnancy,each of the following changes in the respiratory system occurs except:

A) Increased respiratory rate.
B) Increased O₂ consumption and increased work of breathing.
C) Relatively unchanged or slightly decreased total lung capacity.
D) State of hyperventilation throughout pregnancy.

Question 8

Each of the following is true about diastasis recti except:

A) A diastasis of the rectus abdominis is more prevalent in women with multiple pregnancies.
B) Manual support of the abdominals during abdominal exercises over the course of pregnancy corrects a diastasis.
C) The highest incidence of diastasis recti is during the third trimester.
D) A separation of the rectus muscle along the linea alba that is more than two finger widths is clinically significant.

Question 9

An exercise program that includes posture training to counter the expected postural changes that occur during pregnancy should emphasize each of the following except:

A) Strengthening scapular retractors.
B) Strengthening hip extensors.
C) Strengthening abdominals (low-intensity).
D) Strengthening shoulder internal rotators.

Question 10

Which of the following activities should be used initially to correct a diastasis recti postpartum?

A) Have the patient lie supine,arms at sides,and do a partial sit-up (until scapulae clear the surface)
B) Have the patient lie supine,arms across the abdomen,and perform leg lowering from a 90 ^$\circ$ position
C) Have the patient lie supine,arms across the abdomen,and perform head lifts
D) Have the patient avoid all abdominal exercises until the diastasis corrects itself

Question 11

During pregnancy,in which direction does the center of gravity of the body move?

A) Superior and posterior
B) Superior and anterior
C) Inferior and posterior
D) Inferior and anterior

Question 12

Which of the following statements adequately represents aerobic exercise guidelines for a woman during an uncomplicated pregnancy?

A) Continue exercise at levels prior to pregnancy with the understanding that a lower intensity of exercise results in the same level of exertion.
B) Limit exercise to three times a week at a target heart rate during exercise based on a conventional age-based calculation.
C) Women who have not been exercising prior to pregnancy should wait for 3 months after delivery to begin an exercise program.
D) If a woman has exercised prior to pregnancy,all types of exercise can be continued throughout pregnancy,including those with ballistic,end-range movements and rapid changes of direction.

Question 13

Varicose veins are aggravated during pregnancy due to all of the following except:

A) Increased venous distensibility.
B) Shift in the center of gravity superior and anteriorly.
C) Increased uterine weight.
D) Venous stasis in the legs.

Question 14

Which of the following is true of nerve supply (innervation)of the pelvic floor complex?

A) Damage to the nerve supply of the pelvic floor complex during labor and delivery is one of the main contributors to organ prolapse.
B) There are multiple and varied innervations from inconsistent sacral levels that innervate this area.
C) The pudendal nerve is the sole innervation for the pelvic floor.
D) The nerve supply is at risk with a 4° episiotomy,often resulting in permanent paralysis of the anal sphincter.

Question 15

When exercising during pregnancy,each of the following is a reason to discontinue exercise and contact a physician before resuming exercise except:

A) Pubic pain.
B) Irregular heart rhythm.
C) Vaginal bleeding.
D) Uterine contractions that persist after cessation of exercise.

Question 16

Each of the following contributes to the potential for pelvic floor muscle dysfunction following pregnancy except:

A) Planned cesarean delivery.
B) Injury to the pudendal nerve.
C) Tear/surgical laceration of the perineal body.
D) Stretch to the pelvic floor during late stage of pregnancy.

Question 17

Which of the following is a true statement about diastasis recti?

A) It affects function of only the rectus abdominis muscle.
B) It is characterized by a separation of abdominal muscles at the linea alba.
C) Corrective exercise is recommended if the diastasis is greater than 1 cm.
D) The etiology during pregnancy is well understood.