CSEP-CEP EXAM 4 COMPREHENSIVE SCRIPT
2026 QUESTIONS AND SOLUTIONS
◉ What types of exercises should be avoided during pregnancy?
Answer: Any sort of high impact, rotational, ballistic activity that
could increase risk of injury or falling
Any activity that increases risk of abdominal injury
After 4 months, activity that involves lying on your back (weight of
baby can compress blood vessels)
Heavy lifting
◉ What is pre-eclampsia? Answer: High BP during pregnancy;
typically presents with protein in urine and edema, may also include
headache, abdominal pain, visual changes
◉ What are the risks of pre-eclampsia? Answer: Can cause seizures
and increase risk of stroke;
May lead to pre-term or stillborn babies, lack of blood flow may lead
to malnourished and small for age babies
◉ What are some risk factors for pre-eclampsia? Answer: Excessive
gestational weight gain
,Obesity
Diabetes
◉ What is gestational diabetes? Answer: Women without diabetes
develop impaired glucose sensitivity and high blood sugar levels
◉ What are some of the risks associated with uncontrolled
gestational diabetes? Answer: Increased risk of baby being too large,
having low blood sugar after birth, jaundice, stillbirth
◉ What is hyperemesis gravidarum? Answer: Severe nausea,
vomiting, weight loss, electrolyte imbalance during pregnancy
Caused by change in hormone levels
◉ What are some signs of hyperemesis gravidarum? Answer:
Dehydration, headaches, confusion, fainting, jaundice, extreme
fatigue, low BP, rapid HR
◉ How would a C-section vs vaginal delivery vs episiotomy affect
exercise prescription? Answer: Until a doctor says that resuming
activity is safe (4-6 weeks), recommended to avoid strenuous
exercise, lifting heavy objects
Modified exercises to avoid heavy lifting and core strengthening
,Chronic pain and infections, anorectal dysfunction, urinary
incontinence, pelvic organ prolapse are possible long term side
effects
Pelvic floor exercises can help with healing and strengthen muscles;
ensure client pays attention to how hard they are working
◉ What are some barriers associated with physical activity and
people with a disability? Answer: Physical barriers - no/blocked
curb cuts, inaccessible doors/bathrooms, no parking, poor travel
surfaces, obstructed travel, personal illness, no ramps
- indoor gym facilities inaccessible (drinking fountains, weights area,
access to parts of gym)
Personal barriers - inability to pay for memberships, lack of
knowledge regarding fitness, lack of support
Social barriers - lack of knowledge from personal trainers/staff,
negative connotations regarding persons with disabilities, lack of
accommodating fitness programs
◉ What are some accommodations that could help someone with a
visual impairment? Answer: Bolded lines
Reduced lighting or glare
Increased text size
, ◉ Describe the importance of physical activity for person's with
disability Answer: People with disabilities have higher rates of
chronic disease
Important for cognitive, emotional and social difficulties
Enhanced self-perception, reduce stress, pain, and depression
Can reduce the stigmatization process and negative stereotypes
Increased social integration, bonding and friendship
Can prevent further declines in functioning
Promote healthy ageing and the prevention of further chronic
conditions associated with ageing
◉ What are some issues in exercise testing in patient's with altered
neurological status? Answer: Safety
Consent
What is being assessed
Timing of test
◉ What is ASD? Answer: Autism spectrum disorder
May have difficulty with communication and interaction, restricted
interests, repetitive behaviors
Range of capabilities depending on the person
2026 QUESTIONS AND SOLUTIONS
◉ What types of exercises should be avoided during pregnancy?
Answer: Any sort of high impact, rotational, ballistic activity that
could increase risk of injury or falling
Any activity that increases risk of abdominal injury
After 4 months, activity that involves lying on your back (weight of
baby can compress blood vessels)
Heavy lifting
◉ What is pre-eclampsia? Answer: High BP during pregnancy;
typically presents with protein in urine and edema, may also include
headache, abdominal pain, visual changes
◉ What are the risks of pre-eclampsia? Answer: Can cause seizures
and increase risk of stroke;
May lead to pre-term or stillborn babies, lack of blood flow may lead
to malnourished and small for age babies
◉ What are some risk factors for pre-eclampsia? Answer: Excessive
gestational weight gain
,Obesity
Diabetes
◉ What is gestational diabetes? Answer: Women without diabetes
develop impaired glucose sensitivity and high blood sugar levels
◉ What are some of the risks associated with uncontrolled
gestational diabetes? Answer: Increased risk of baby being too large,
having low blood sugar after birth, jaundice, stillbirth
◉ What is hyperemesis gravidarum? Answer: Severe nausea,
vomiting, weight loss, electrolyte imbalance during pregnancy
Caused by change in hormone levels
◉ What are some signs of hyperemesis gravidarum? Answer:
Dehydration, headaches, confusion, fainting, jaundice, extreme
fatigue, low BP, rapid HR
◉ How would a C-section vs vaginal delivery vs episiotomy affect
exercise prescription? Answer: Until a doctor says that resuming
activity is safe (4-6 weeks), recommended to avoid strenuous
exercise, lifting heavy objects
Modified exercises to avoid heavy lifting and core strengthening
,Chronic pain and infections, anorectal dysfunction, urinary
incontinence, pelvic organ prolapse are possible long term side
effects
Pelvic floor exercises can help with healing and strengthen muscles;
ensure client pays attention to how hard they are working
◉ What are some barriers associated with physical activity and
people with a disability? Answer: Physical barriers - no/blocked
curb cuts, inaccessible doors/bathrooms, no parking, poor travel
surfaces, obstructed travel, personal illness, no ramps
- indoor gym facilities inaccessible (drinking fountains, weights area,
access to parts of gym)
Personal barriers - inability to pay for memberships, lack of
knowledge regarding fitness, lack of support
Social barriers - lack of knowledge from personal trainers/staff,
negative connotations regarding persons with disabilities, lack of
accommodating fitness programs
◉ What are some accommodations that could help someone with a
visual impairment? Answer: Bolded lines
Reduced lighting or glare
Increased text size
, ◉ Describe the importance of physical activity for person's with
disability Answer: People with disabilities have higher rates of
chronic disease
Important for cognitive, emotional and social difficulties
Enhanced self-perception, reduce stress, pain, and depression
Can reduce the stigmatization process and negative stereotypes
Increased social integration, bonding and friendship
Can prevent further declines in functioning
Promote healthy ageing and the prevention of further chronic
conditions associated with ageing
◉ What are some issues in exercise testing in patient's with altered
neurological status? Answer: Safety
Consent
What is being assessed
Timing of test
◉ What is ASD? Answer: Autism spectrum disorder
May have difficulty with communication and interaction, restricted
interests, repetitive behaviors
Range of capabilities depending on the person
