Trimester-Specific Protocols Flashcards
7 cards from real PMC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Trimester-Specific Protocols flashcards as text
Which specific area of the lower leg is considered a contraindicated deep pressure point during all trimesters due to potential stimulation of uterine contractions?
Answer: Spleen 6 acupressure point above the medial malleolus
Spleen 6 (SP6), located four finger-widths above the medial malleolus, is a traditional acupressure point associated with uterine stimulation and is avoided during pregnancy.
A first-trimester client is in her 10th week of pregnancy and reports no complications. What is the most appropriate massage pressure level?
Answer: Light to moderate pressure avoiding contraindicated areas
Light to moderate pressure is appropriate in the first trimester while avoiding contraindicated sites; blanket restrictions are not evidence-based.
Which hormone released during massage is particularly beneficial for third-trimester clients experiencing anxiety and sleep disturbances?
Answer: Oxytocin
Oxytocin released during massage promotes relaxation, bonding, and improved sleep, which benefits anxious third-trimester clients.
During third-trimester massage, why should the therapist avoid prolonged work in the supine position even with a wedge under the right hip?
Answer: Even a 15-degree tilt may be insufficient to fully relieve vena caval compression
A small wedge may not provide adequate tilt to fully decompress the inferior vena cava in late pregnancy, so side-lying is preferred.
What is the recommended bolster placement for a second-trimester client positioned in side-lying for back massage?
Answer: Bolster under the head and between the knees and ankles
Bolsters under the head and between the knees and ankles align the spine and reduce hip and SI joint strain in side-lying.
Which first-trimester complaint is most directly addressed through massage of the sternocleidomastoid and suboccipital muscles?
Answer: Headaches related to postural changes and increased blood volume
Tension headaches in early pregnancy often result from postural shifts and increased blood volume, which can be relieved by cervical and suboccipital massage.
A therapist notices pitting edema on both ankles of a second-trimester client that was not present at the last session. What is the appropriate response?
Answer: Inquire about accompanying symptoms and refer to her provider if she also has headache or visual changes
Sudden edema combined with headache or visual changes may indicate preeclampsia and warrants medical referral before continuing massage.