PMC Contraindications & Risk Factors 2

Question 1

A client at 28 weeks presents with sudden severe headache, visual disturbances, and swollen hands. Which condition does this suggest, and what should the therapist do?

Accepted Answer

Refer immediately to her healthcare provider and do not massage

Answer

Sudden severe headache, visual changes, and rapid edema are warning signs of preeclampsia, an absolute contraindication requiring immediate medical referral.

Question 2

Placenta previa is a contraindication primarily because prenatal massage could:

Accepted Answer

Cause uterine contractions leading to placental separation and hemorrhage

Answer

In placenta previa the placenta covers the cervical os, and stimulating uterine contractions through massage risks placental abruption and life-threatening bleeding.

Question 3

A client discloses she has been diagnosed with gestational diabetes mellitus (GDM). How should this affect the massage plan?

Accepted Answer

Work within normal prenatal guidelines but monitor for neuropathy and circulation changes

Answer

GDM is a relative consideration rather than an absolute contraindication; the therapist should adapt by checking for peripheral neuropathy and circulatory complications.

Question 4

Which of the following describes an absolute contraindication for prenatal massage?

Accepted Answer

Active vaginal bleeding of unknown origin

Answer

Active vaginal bleeding of unknown origin is an absolute contraindication because massage could worsen the underlying cause and endanger mother and fetus.

Question 5

A therapist notices significant pitting edema in one leg only of a third-trimester client. The appropriate response is to:

Accepted Answer

Avoid massaging that leg and refer for deep vein thrombosis evaluation

Answer

Unilateral pitting edema is a DVT red flag; massaging an active clot could dislodge it and cause a pulmonary embolism.

(PMC) Prenatal Massage Certification Practice Test

(PMC) Prenatal Massage Certification Practice Test

PMC Contraindications & Risk Factors 2