NCBTMB Special Populations and Treatment Adaptations

Question 1

What is the recommended positioning for a pregnant client in the second or third trimester during massage?

Accepted Answer

Side-lying with pillow support

Answer

Side-lying positioning avoids compression of the inferior vena cava and is the safest position for second and third trimester clients.

Question 2

When working with an elderly client who has osteoporosis, which adjustment is most important?

Accepted Answer

Use light pressure and avoid high-force techniques

Answer

Osteoporosis significantly weakens bone structure, making the client vulnerable to fractures with excessive force or aggressive techniques.

Question 3

A client with Type 1 diabetes arrives for a massage with a recent insulin injection in the left thigh. What is the most important precaution?

Accepted Answer

Avoid massaging the site of the recent insulin injection

Answer

Massage increases local circulation and can accelerate insulin absorption from the injection site, potentially causing dangerous hypoglycemia.

Question 4

Which situation represents a local contraindication for massage in a client undergoing cancer treatment?

Accepted Answer

An area currently receiving radiation therapy

Answer

Radiation treatment damages and sensitizes tissue in the treatment area, making massage locally contraindicated to avoid further irritation.

Question 5

Before providing massage to a 14-year-old client, what is the most critical legal requirement?

Accepted Answer

Obtain written consent from a parent or legal guardian

Answer

Minors lack the legal capacity to provide informed consent, so a parent or legal guardian must consent on their behalf before treatment begins.

NCBTMB Exam Practice Test