High-Risk Pregnancy Considerations Flashcards
7 cards from real PMC practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 High-Risk Pregnancy Considerations flashcards as text
A client with a twin pregnancy at 30 weeks asks about massage positioning. The safest primary position is:
Answer: Semi-reclined left lateral or full left lateral
Left lateral positioning relieves aortocaval compression, which is more pronounced in multiple pregnancies due to the larger uterine mass.
Which blood pressure reading at rest would classify a pregnant client as having chronic hypertension (not gestational)?
Answer: 140/90 mmHg documented before 20 weeks gestation
Hypertension documented before 20 weeks gestation (or pre-existing before pregnancy) is classified as chronic hypertension, not a pregnancy-induced disorder.
Massage therapy may benefit a client with hyperemesis gravidarum (HG) primarily by:
Answer: Reducing anxiety and sympathetic nervous system activity that can worsen nausea
Reducing stress and sympathetic tone through gentle massage can indirectly lessen nausea severity, as anxiety significantly worsens HG symptoms.
A prenatal client discloses a history of preterm labor in her previous pregnancy. The therapist should:
Answer: Obtain physician clearance and avoid techniques known to stimulate contractions
A history of preterm labor is a significant risk factor; physician clearance ensures the care plan is appropriate and avoids contraindicated techniques.
Which acupressure point is considered most contraindicated during high-risk pregnancy due to its potential to stimulate uterine contractions?
Answer: SP 6 (Sanyinjiao) — above the medial malleolus
SP 6 (Spleen 6) is strongly contraindicated in pregnancy as it has traditional associations with stimulating uterine contractions and cervical dilation.
Symphysis pubis dysfunction (SPD) in pregnancy is best addressed by the massage therapist through:
Answer: Gentle myofascial work on hip muscles and avoiding techniques that separate the knees widely
Gentle soft-tissue work around the hips and pelvis can reduce SPD discomfort, but techniques that separate or stress the symphysis joint must be avoided.
A client at 34 weeks with IUGR (intrauterine growth restriction) asks if massage is safe. The most accurate response is:
Answer: With physician clearance, gentle massage focusing on relaxation is generally appropriate
With obstetric provider clearance, gentle relaxation-focused massage is appropriate for IUGR clients, as stress reduction may support maternal well-being without harming fetal circulation.