PMC PMC Circulatory & Lymphatic Considerations

Question 1

Why does blood volume increase significantly during pregnancy?

Accepted Answer

To support placental perfusion and fetal oxygen delivery

Answer

To prepare the body for postpartum weight loss

Answer

To increase maternal blood pressure

Answer

To support increased digestive activity

Question 2

What condition describes abnormally enlarged, twisted veins that commonly appear in the legs during pregnancy?

Accepted Answer

Varicose veins

Answer

Deep vein thrombosis

Answer

Lymphedema

Answer

Phlebitis

Question 3

Which direction should effleurage strokes be performed on a pregnant client's legs to support venous return?

Accepted Answer

Distal to proximal (toward the heart)

Answer

Proximal to distal (away from the heart)

Answer

Lateral to medial

Answer

In a circular pattern only

Question 4

A pregnant client develops visible varicose veins behind her knee. How should the therapist approach this area?

Accepted Answer

Avoid direct pressure on the varicosities and work around them

Answer

Apply deep friction to break up the distended vessels

Answer

Use hot compresses over the area before massage

Answer

Massage directly over them with light effleurage only

Question 5

What is the primary reason deep vein thrombosis (DVT) risk increases during pregnancy?

Accepted Answer

Hypercoagulability, venous stasis, and vascular endothelial damage (Virchow's Triad)

Answer

Increased physical activity during pregnancy

Answer

Decreased fluid intake

Answer

Reduced heart rate during the third trimester

Question 6

Which symptom combination in a pregnant client's calf should immediately lead the therapist to stop massage and refer to emergency care?

Accepted Answer

Unilateral heat, redness, swelling, and tenderness

Answer

Bilateral mild soreness after exercise

Answer

Bilateral ankle edema at end of day

Answer

Calf cramping that resolves with dorsiflexion