PMC PMC Circulatory & Lymphatic Considerations

Question 1

Why does blood volume increase significantly during pregnancy?

Accepted Answer

To support placental perfusion and fetal oxygen delivery

Answer

Blood volume increases by approximately 40–50% during pregnancy to ensure adequate oxygen and nutrient delivery to the placenta and fetus.

Question 2

What condition describes abnormally enlarged, twisted veins that commonly appear in the legs during pregnancy?

Accepted Answer

Varicose veins

Answer

Varicose veins result from increased venous pressure and progesterone-induced vascular relaxation during pregnancy.

Question 3

Which direction should effleurage strokes be performed on a pregnant client's legs to support venous return?

Accepted Answer

Distal to proximal (toward the heart)

Answer

Strokes directed toward the heart (distal to proximal) assist venous return and reduce peripheral edema.

Question 4

A pregnant client develops visible varicose veins behind her knee. How should the therapist approach this area?

Accepted Answer

Avoid direct pressure on the varicosities and work around them

Answer

Direct pressure on varicose veins can damage fragile vessel walls and increase risk of thrombosis or rupture.

Question 5

What is the primary reason deep vein thrombosis (DVT) risk increases during pregnancy?

Accepted Answer

Hypercoagulability, venous stasis, and vascular endothelial damage (Virchow's Triad)

Answer

Pregnancy activates Virchow's Triad — increased clotting factors, reduced blood flow velocity, and vessel wall changes — all raising DVT risk.

(PMC) Prenatal Massage Certification Practice Test