7031 version 3 16-Oct-03 1 of 8

EXERCISE PRESCRIPTION Apply knowledge of exercise prescription to ante- and post-natal women

level: credit: final date for comment: expiry date: sub-field: purpose:

5 4 December 2002 December 2003 Fitness People credited with this unit standard are able to: apply exercise considerations and guidelines to exercise prescription for women during pregnancy and following childbirth; adapt fitness assessment protocols for ante- and post-natal women; establish cooperative relationships with medical and maternity professionals; choose exercises and exercise modes for safe development and maintenance of fitness in pregnancy and restoration of fitness following childbirth; and design programmes to satisfy safety guidelines and client’s fitness goals. This unit standard is designed for people specialising in providing exercise prescription services to individual women and to groups working with ante- and post-natal women. Prerequisites: Unit 7021, Demonstrate exercise techniques; and Unit 7022, Demonstrate knowledge of the principles of safe physical activity; or demonstrate equivalent knowledge and skills. Evaluation of documentation and visit by NZQA and industry. A centrally established and directed national moderation system has been set up by the Sport, Fitness and Recreation Industry Training Organisation - Fitness Advisory Group.

entry information:

accreditation option: moderation option:

 New Zealand Qualifications Authority 2003

7031 version 3 16-Oct-03 2 of 8

EXERCISE PRESCRIPTION Apply knowledge of exercise prescription to ante- and post-natal women

special notes:

1

In this context, the concept of client must be considered to include the present and future safety and health of the unborn child or children involved. Fitness sector unit standards use the term facility to refer to the workplace which may be a fitness centre, a recreation centre, an aquatic centre, or a community centre where fitness activities take place. Where usage is unclear it may help to consider facility standards as being equivalent to employer standards. Competence in this unit standard requires knowledge of guidelines from the American College of Obstetricians and Gynaecologists (ACOG) lists of contraindications for exercise and indications for halting an exercise session as published in Exercise during Pregnancy and Postpartum Period (ACOG) Home Exercise Programs. Washington DC. ACOG, 1994 (ACOG technical bulletin, no 189).

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 New Zealand Qualifications Authority 2003

7031 version 3 16-Oct-03 3 of 8

EXERCISE PRESCRIPTION Apply knowledge of exercise prescription to ante- and post-natal women

Elements and Performance Criteria
element 1 Apply exercise considerations and guidelines to exercise prescription for women during pregnancy and following childbirth. performance criteria 1.1 Exercise considerations and guidelines for ante- and post-natal women are described in terms of effects of exercise on mother. Range: as per each trimester and the post-natal period physiological effects (per trimester) to include - heart rate (rest and exercise), arrhythmia, blood pressure changes, respiratory changes, oedema (nerve compression syndromes); biomechanical effects (per trimester and post-natally) to include centre of mass, joint laxity (musculoskeletal injuries), postural hypotension; nutritional effects include - changes in energy needs, nutrient needs and hydration needs, consequences of inadequate diet; psychological effects include - reaction to performance decrements, weight gain, changing attitudes of others.

 New Zealand Qualifications Authority 2003

7031 version 3 16-Oct-03 4 of 8

EXERCISE PRESCRIPTION Apply knowledge of exercise prescription to ante- and post-natal women

1.2

Exercise considerations and guidelines for ante- and post-natal women are described with reference to effects of maternal exercise on the foetus and foetal development. Range: as per each trimester foetal temperature (congenital malformation), competition for blood flow, oxygen delivery, and glucose availability, effects of exercise hormonal levels, foetal distress, intrauterine growth retardation, physical constriction.

1.3

Analysis of exercise session and programme management for ante- and postnatal women describes indicators for consultation with health professionals involved with clients, and for ceasing or modifying exercise and programming. Range: medical history, target heart rates, target durations, physiological indicators, perceived level of exertion, acute physical symptoms, mood states, post-exercise symptoms, gradual onset symptoms; health professionals - doctor, midwife.

 New Zealand Qualifications Authority 2003

7031 version 3 16-Oct-03 5 of 8

EXERCISE PRESCRIPTION Apply knowledge of exercise prescription to ante- and post-natal women

element 2 Adapt fitness assessment protocols for ante- and post-natal women. Range: protocols may include but are not limited to fitness assessment protocol categories - screening and body dimension assessments, flexibility assessments, sub-maximal aerobic capacity assessments; screening and body dimension assessment protocols include - blood pressure at rest and in exercise, tape measurements, body mass index, somatotyping; flexibility assessment protocols include - Sit and Reach Test, Sahrman Tests for hamstring length, hip flexor length, and quadriceps (rectus femoris) length, Apley Scratch Test; sub-maximal aerobic capacity assessment protocols include - Åstrand-Ryhming Step Test, Canadian Home Fitness Test, Åstrand-Ryhming Cycle Ergometer Test, Rockport 1 Mile Walk Test.

performance criteria 2.1 Identify fitness assessment protocols which, without adaptation, are outside safety guidelines for ante- and post-natal women (ACOG Guidelines). Prepare in written form an adaptation of a fitness assessment protocol from each category to meet safety guidelines for ante- and post-natal women. Demonstrate an adapted fitness assessment protocol from each category to meet facility standards.

2.2

2.3

 New Zealand Qualifications Authority 2003

7031 version 3 16-Oct-03 6 of 8

EXERCISE PRESCRIPTION Apply knowledge of exercise prescription to ante- and post-natal women

2.4

Comparison of physical responses of women to standard exercise tests establishes group differences between ante-natal, post-natal, and non-pregnant women. Range: body weight, girth measures, flexibility measures, heart rate response to aerobic work.

element 3 Establish cooperative relationships with medical and maternity professionals. Range: general practitioners, midwives, Independent Midwifery Service.

performance criteria 3.1 Knowledge of local resources is demonstrated by listing local individuals and organisations providing professional and volunteer services to pregnant and postnatal women. Documentation is provided to enable clients to give informed consent permitting specified information sharing with other medical and maternity professionals with whom the client is involved. Knowledge of medical terminology - including abbreviations - related to pregnancy and childbirth is demonstrated through interpretation of technical information from medical and maternity professionals. Communication is established with other health professionals in relation to individual clients in order to facilitate exercise prescription for those clients. Range: communication includes - goals of programming, qualifications of fitness personnel, facilities and programmes available at centre, emergency medical back up available to centre clients.

3.2

3.3

3.4

 New Zealand Qualifications Authority 2003

7031 version 3 16-Oct-03 7 of 8

EXERCISE PRESCRIPTION Apply knowledge of exercise prescription to ante- and post-natal women

element 4 Choose exercises and exercise modes for safe development and maintenance of fitness in pregnancy and restoration of fitness following childbirth. Range: clients’ needs - maintenance of fitness in pregnancy, physical conditioning for childbirth, restoration of fitness following childbirth.

performance criteria 4.1 Selection of exercises and exercise modes matches clients’ needs and goals within ACOG safety guidelines. Range: type of exercise, intensity, body position, fitness component, availability, accessibility, cost.

4.2

Consultation with client establishes acceptability of and commitment to exercises and exercise modes chosen by instructor. Discussion of safety guidelines with client meets client’s needs for understanding of exercise and programme restrictions and guidelines.

4.3

element 5 Design programmes to satisfy safety guidelines and client’s fitness goals. performance criteria 5.1 Programme is designed to be consistent with safety guidelines (ACOG guidelines) for exercise by ante- and post-natal women.

 New Zealand Qualifications Authority 2003

7031 version 3 16-Oct-03 8 of 8

EXERCISE PRESCRIPTION Apply knowledge of exercise prescription to ante- and post-natal women

5.2

Consultation with client’s medical and maternity advisers meets their needs for information and client’s need for their support. Consultation with client establishes client’s acceptance of programme targets and timelines.

5.3

Comments to:

Sport, Fitness and Recreation Industry Training Organisation - Fitness Advisory Group Unit Standard Revision PO Box 160 WELLINGTON by December 2002. Please Note: Providers must be accredited by the Qualifications Authority before they can offer programmes of education and training assessed against unit standards. Accredited providers assessing against unit standards must engage with the moderation system that applies to those unit standards. [Please refer to relevant Plan ref: 0069]

 New Zealand Qualifications Authority 2003

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