Safety, Contraindications & Precautions Flashcards

Why is deep pressure over the abdomen contraindicated when an infant has recently eaten?

Answer: It can induce vomiting and aspiration risk

Deep abdominal pressure after feeding can cause regurgitation and create an aspiration risk, especially in infants.

Massage is contraindicated on areas of a child's body that show signs of:

Answer: Deep vein thrombosis (DVT)

Massage over a suspected DVT can dislodge a clot and cause a pulmonary embolism, making it an absolute local contraindication.

A child who has received chemotherapy within the past week should:

Answer: Be seen only with oncologist clearance and using very light pressure

Children in active chemotherapy require oncologist clearance; massage may be beneficial but must be extremely gentle due to immune suppression and fragile blood values.

What is the primary concern when massaging a child with osteogenesis imperfecta (brittle bone disease)?

Answer: Risk of fracture from minimal pressure

Osteogenesis imperfecta causes extremely fragile bones that can fracture with very little force, requiring extreme caution or avoidance of massage.

Massage for a child with spina bifida should avoid:

Answer: Areas with diminished or absent sensation below the lesion level

Children with spina bifida may lack sensation below the lesion level, making it impossible for them to report pain or pressure-related injury.

Which massage technique is specifically contraindicated in infants with hydrocephalus and a ventricular shunt?

Answer: Cranial or scalp massage near the shunt site

Direct pressure or massage near a ventricular shunt site can displace or occlude the shunt, causing a medical emergency.