While reviewing childbirth exercises with a pregnant client with a history of back pain, the nurse includes which of the following instructions?
1. Perform the pelvic rock exercise only in the standing position.
2. Perform the pelvic rock exercise while in the hands and knees position.
3. Exercise in the supine position throughout the pregnancy.
4. Soak in a hot tub for approximately 30 minutes after exercise.
1. Perform the pelvic rock exercise only in the standing position.
Rationale:
The pelvic tilt or pelvic rock exercise helps prevent or reduce back strain as it strengthens abdominal muscles. The client with a history of back pain should be instructed to perform the exercise in the standing position only. Doing the exercise on hands and knees may aggravate back strain and cause pain. Pregnant clients should be instructed to avoid exercising in the supine position after the first trimester because it could hinder uterine blood flow and harm the fetus. Pregnant clients should be instructed to avoid hot tubs because of possible teratogenic effects of hyperthermia on the developing fetus.
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