PMC Safety Rules

Question 1

Why should a pregnant client avoid lying flat on her back during late pregnancy?

Accepted Answer

It may compress the vena cava

Answer

During late pregnancy, the enlarged uterus can compress the inferior vena cava when a client lies flat on her back. This compression reduces blood flow back to the heart, potentially causing supine hypotensive syndrome, characterized by dizziness, nausea, and a drop in blood pressure for the mother, and decreased oxygen to the baby. Therefore, side-lying or semi-reclined positions are recommended.

Question 2

Which area should be avoided or massaged with caution to prevent stimulating contractions?

Accepted Answer

Ankles and inner thighs

Answer

Certain acupressure points located in the ankles and inner thighs are believed to be uterotonic, meaning they can stimulate uterine contractions. To prevent the risk of preterm labor, these areas should be massaged with extreme caution or avoided entirely during prenatal massage. Therapists must be knowledgeable about these specific points and their potential effects.

Question 3

What is the most appropriate response if a client feels dizzy during a prenatal massage?

Accepted Answer

Stop the massage and reposition her

Answer

Client safety is paramount during a prenatal massage. If a client feels dizzy, it could indicate supine hypotensive syndrome or another issue, so the massage should be immediately stopped, and the client repositioned, typically to her left side. This action helps relieve any potential compression on the vena cava and allows blood flow to normalize, ensuring her well-being.

Question 4

What should you do before each prenatal massage session?

Accepted Answer

Review any medical changes or symptoms

Answer

Before each prenatal massage session, it is crucial to review any medical changes or new symptoms the client may be experiencing. Pregnancy is a dynamic state, and conditions can change rapidly, potentially introducing new contraindications or precautions. This intake ensures the massage remains safe and appropriately tailored to the client's current health status.

Question 5

Which symptom requires immediate referral before massage can continue?

Accepted Answer

Severe headaches with vision changes

Answer

Severe headaches accompanied by vision changes are potential symptoms of preeclampsia, a serious and life-threatening pregnancy complication. These symptoms require immediate medical evaluation by a healthcare provider. A massage therapist should refer the client for urgent medical attention before any massage can be considered.

(PMC) Prenatal Massage Certification Practice Test

(PMC) Prenatal Massage Certification Practice Test

PMC Safety Rules