PMC High-Risk Pregnancy Considerations 2

Question 1

A client at 28 weeks reports sudden severe headache, visual disturbances, and upper abdominal pain. What is the most appropriate action?

Accepted Answer

Immediately refer her to emergency medical care

Answer

Sudden severe headache with visual disturbances and upper abdominal pain are classic warning signs of severe preeclampsia or HELLP syndrome requiring emergency care.

Question 2

Which condition is characterized by the placenta partially or fully covering the cervical os?

Accepted Answer

Placenta previa

Answer

Placenta previa occurs when the placenta implants in the lower uterine segment, partially or completely covering the cervical os.

Question 3

A prenatal massage therapist should avoid deep abdominal work in a client diagnosed with placenta previa because:

Accepted Answer

It may stimulate uterine contractions and cause bleeding

Answer

Deep abdominal pressure can stimulate uterine activity and risk hemorrhage in placenta previa, where the placenta overlies the cervix.

Question 4

Gestational diabetes increases the risk of which neonatal complication at delivery?

Accepted Answer

Neonatal hypoglycemia

Answer

Infants of mothers with gestational diabetes are exposed to excess glucose in utero, causing fetal hyperinsulinism that leads to hypoglycemia after birth.

Question 5

When massaging a client with symptomatic varicose veins in the legs, the therapist should:

Accepted Answer

Avoid direct pressure on varicose veins and work proximal to them

Answer

Direct pressure over varicose veins risks rupture or dislodgment of any associated thrombus; work proximal to the veins to encourage drainage safely.

(PMC) Prenatal Massage Certification Practice Test

(PMC) Prenatal Massage Certification Practice Test

PMC High-Risk Pregnancy Considerations 2