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ACSM

010-111 · Question #221

Your client has discovered she is pregnant through a home pregnancy test. She wants to continue to exercise during her pregnancy and is seeking your help. What is the best recommendation?

The correct answer is C. Encourage her to consult with her physician for any possible limitations. When a client discloses a new pregnancy, the trainer's first responsibility is to defer to medical guidance before continuing or modifying any exercise program.

Initial Client Consultation and Assessment

Question

Your client has discovered she is pregnant through a home pregnancy test. She wants to continue to exercise during her pregnancy and is seeking your help. What is the best recommendation?

Options

  • AEncourage her to continue with her current exercise program with minimal modification until the
  • BDecrease the work volume for each workout session.
  • CEncourage her to consult with her physician for any possible limitations.
  • DEncourage her to continue exercising at 50% of her age-predicted maximal heart rate.

How the community answered

(26 responses)
  • A
    15% (4)
  • B
    4% (1)
  • C
    73% (19)
  • D
    8% (2)

Why each option

When a client discloses a new pregnancy, the trainer's first responsibility is to defer to medical guidance before continuing or modifying any exercise program.

AEncourage her to continue with her current exercise program with minimal modification until the

Continuing the current program with minimal modification bypasses the necessary medical screening that identifies pregnancy-specific contraindications the trainer cannot evaluate.

BDecrease the work volume for each workout session.

Reducing work volume alone is insufficient because it does not address the range of potential medical contraindications that require physician evaluation before any prenatal exercise resumes.

CEncourage her to consult with her physician for any possible limitations.Correct

Consulting a physician is the correct first step because pregnancy introduces potential contraindications and individual risk factors - such as placenta previa, preeclampsia risk, or cardiac conditions - that only a licensed medical provider can assess. The physician can issue specific limitations or clearance before exercise continues. A personal trainer lacks the clinical authority to independently prescribe or modify a prenatal exercise program.

DEncourage her to continue exercising at 50% of her age-predicted maximal heart rate.

Prescribing 50% of age-predicted maximal heart rate is an arbitrary and overly restrictive threshold that does not substitute for individualized medical guidance from a physician.

Concept tested: Prenatal exercise safety and physician referral protocol

Source: https://www.acog.org/clinical/clinical-guidance/committee-opinion/articles/2020/04/physical-activity-and-exercise-during-pregnancy-and-the-postpartum-period

Topics

#pregnancy#special populations#physician referral#exercise modification

Community Discussion

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