A 38-year-old patient in her second trimester states a desire to begin an exercise program to ...

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Rationale 1: Mild to moderate exercise during pregnancy is healthy for moms and babies. The increased stamina that correlates with physical fitness can help decrease fatigue in pregnancy, but the second trimester will bring greater fatigue, as fetal metabolism creates demands on the maternal system.
Rationale 2: The age of 38 is not too old to begin an exercise routine, but during pregnancy, a patient should not begin a new type of extremely strenuous or high-impact activity. It is not appropriate to drink a lot of coffee.
Rationale 3: Those patients who have regularly engaged in strenuous or high-impact activities prior to pregnancy can continue that practice unless they develop pregnancy complications that contraindicate exercise.
Rationale 4: Mild to moderate exercise during pregnancy is healthy for moms and babies, but a patient should not begin a new type of extremely strenuous or high-impact activity.