PMC High-Risk Pregnancy Considerations 3

Question 1

A client with a twin pregnancy at 30 weeks asks about massage positioning. The safest primary position is:

Accepted Answer

Semi-reclined left lateral or full left lateral

Answer

Left lateral positioning relieves aortocaval compression, which is more pronounced in multiple pregnancies due to the larger uterine mass.

Question 2

Which blood pressure reading at rest would classify a pregnant client as having chronic hypertension (not gestational)?

Accepted Answer

140/90 mmHg documented before 20 weeks gestation

Answer

Hypertension documented before 20 weeks gestation (or pre-existing before pregnancy) is classified as chronic hypertension, not a pregnancy-induced disorder.

Question 3

Massage therapy may benefit a client with hyperemesis gravidarum (HG) primarily by:

Accepted Answer

Reducing anxiety and sympathetic nervous system activity that can worsen nausea

Answer

Reducing stress and sympathetic tone through gentle massage can indirectly lessen nausea severity, as anxiety significantly worsens HG symptoms.

Question 4

A prenatal client discloses a history of preterm labor in her previous pregnancy. The therapist should:

Accepted Answer

Obtain physician clearance and avoid techniques known to stimulate contractions

Answer

A history of preterm labor is a significant risk factor; physician clearance ensures the care plan is appropriate and avoids contraindicated techniques.

Question 5

Which acupressure point is considered most contraindicated during high-risk pregnancy due to its potential to stimulate uterine contractions?

Accepted Answer

SP 6 (Sanyinjiao) — above the medial malleolus

Answer

SP 6 (Spleen 6) is strongly contraindicated in pregnancy as it has traditional associations with stimulating uterine contractions and cervical dilation.

(PMC) Prenatal Massage Certification Practice Test

(PMC) Prenatal Massage Certification Practice Test

PMC High-Risk Pregnancy Considerations 3