PMC Trimester-Specific Protocols 3

Question 1

Which specific area of the lower leg is considered a contraindicated deep pressure point during all trimesters due to potential stimulation of uterine contractions?

Accepted Answer

Spleen 6 acupressure point above the medial malleolus

Answer

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.

Question 2

A first-trimester client is in her 10th week of pregnancy and reports no complications. What is the most appropriate massage pressure level?

Accepted Answer

Light to moderate pressure avoiding contraindicated areas

Answer

Light to moderate pressure is appropriate in the first trimester while avoiding contraindicated sites; blanket restrictions are not evidence-based.

Question 3

Which hormone released during massage is particularly beneficial for third-trimester clients experiencing anxiety and sleep disturbances?

Accepted Answer

Oxytocin

Answer

Oxytocin released during massage promotes relaxation, bonding, and improved sleep, which benefits anxious third-trimester clients.

Question 4

During third-trimester massage, why should the therapist avoid prolonged work in the supine position even with a wedge under the right hip?

Accepted Answer

Even a 15-degree tilt may be insufficient to fully relieve vena caval compression

Answer

A small wedge may not provide adequate tilt to fully decompress the inferior vena cava in late pregnancy, so side-lying is preferred.

Question 5

What is the recommended bolster placement for a second-trimester client positioned in side-lying for back massage?

Accepted Answer

Bolster under the head and between the knees and ankles

Answer

Bolsters under the head and between the knees and ankles align the spine and reduce hip and SI joint strain in side-lying.

(PMC) Prenatal Massage Certification Practice Test

(PMC) Prenatal Massage Certification Practice Test

PMC Trimester-Specific Protocols 3