Question 1

Because of decreased clot-dissolving properties and increased clot-producing factors, pregnant women are at a higher risk for which condition?

Accepted Answer

Deep vein thrombosis (DVT) is inflammation of a deep vein with blood clot formation. Because of decreased clot-dissolving properties during pregnancy and increased clot-producing factors, pregnant women are at a five to six times higher risk for DVT.

Question 2

Which term is defined as groups of individuals who, due to a variety of factors, are disadvantaged, vulnerable, or at risk for harm?

Accepted Answer

Special populations are groups of individuals who, due to a variety of factors, are disadvantaged, vulnerable, or at risk for harm.

Question 3

Which condition involves dilated veins resulting from incompetent valves?

Accepted Answer

Varicose veins are dilated veins as a result of incompetent valves. Women may develop varicose veins during pregnancy or find that varicose veins present before pregnancy get worse.

Question 4

Which week range indicates the third trimester of pregnancy?

Accepted Answer

The third trimester is week 29 to birth, which occurs around week 40.

Question 5

Which condition requires immediate referral of a pregnant client to her obstetrician or the health care provider who is managing her pregnancy?

Accepted Answer

If the client has widespread edema, postpone massage and refer her to the obstetrician or health care provider who is managing her pregnancy for evaluation and treatment.

Question 6

What effect does relaxin have on the pregnant woman's body?

Accepted Answer

Towards the end of pregnancy, relaxin helps the cervix relax and dilate, and relaxes ligaments to increase the flexibility of the pelvis in preparation for childbirth. Relaxin may have a slight effect on all joints in pregnant women by making them hypermobile.

Question 7

Which method should be avoided by pregnant women because they have been linked to neural tube defects and spontaneous abortion?

Accepted Answer

Pregnant women should not use hot immersion baths, hot tubs, or spa tubs, as they have been linked to neural tube defects and spontaneous abortion.

Question 8

Which term describes premature termination of a pregnancy?

Accepted Answer

Miscarriage is the premature termination of a pregnancy and occurs in approximately 20% to 30% of all pregnancies.

Question 9

Which condition occurs as the pregnant uterus compresses major abdominal blood vessels, causing a sudden drop in blood pressure?

Accepted Answer

Supine hypotensive syndrome, also called aortocaval compression syndrome, is a drop in blood pressure caused by compression of the pregnant uterus against major abdominal blood vessels, especially the aorta and inferior vena cava.

Question 10

Which condition affects approximately 75% of pregnant women?

Accepted Answer

Morning sickness is nausea with or without vomiting that occurs during pregnancy. It affects approximately 75% of pregnant women and is also called nausea and vomiting of pregnancy

Question 11

Which modification is appropriate for a pregnant client experiencing swelling or edema in the feet and ankles?

Accepted Answer

For mild swelling of the legs, ankles, and feet, elevate your client's lower extremities by placing them on pillows or cushions. Use gentle gliding effleurage applied centripetally. Massage proximal to the affected area first and then proceed distally (e.g., massage the thigh, then the leg, and the ankle and foot last).

Question 12

Which term means persistent high blood pressure with protein in the urine?

Accepted Answer

Preeclampsia is persistent high blood pressure with protein in the urine that develops after 20 weeks of gestation, but returns to normal levels after childbirth. Preeclampsia is also called pregnancy-induced hypertension (PIH).

Question 13

Which type of vulnerability is an individual living in an abusive home considered to have?

Accepted Answer

Those with social vulnerabilities include those living in abusive or neglectful families, the homeless, immigrants, minorities, refugees, individuals living in poverty or who are economically disadvantaged, and those who are institutionalized.

Question 14

Which fetal complication is related to gestational diabetes mellitus?

Accepted Answer

Fetal complications related to gestational diabetes mellitus (GDM) include excessive growth, respiratory distress syndrome, and premature birth.

Question 15

Which range indicates the second trimester of pregnancy?

Accepted Answer

The second trimester spans week 15 to week 28.

Question 16

The modified semireclining position helps prevent which condition?

Accepted Answer

From about week 22 of pregnancy on, use a side-lying position or a left lateral tilt while the client is supine to prevent supine hypotensive syndrome. The American Pregnancy Association recommends sleeping on the left side because it helps blood travel from the heart to the placenta and prevents the enlarged and heavy uterus from putting pressure on the liver.

Question 17

Preeclampsia is also known by what other term?

Accepted Answer

Preeclampsia is also called pregnancy-induced hypertension (PIH).

Question 18

Which type of massage involves modifications of basic techniques and body positions to meet the needs of women as they undergo changes during the prenatal and postpartum periods?

Accepted Answer

Pregnancy massage involves modification of techniques and body positions to meet the needs of women as they undergo changes during pregnancy and the postpartum period.

Question 19

What is the best course of action if a pregnant client is experiencing any signs or symptoms of miscarriage?

Accepted Answer

Postpone massage therapy if your client is experiencing any signs or symptoms of miscarriage or ectopic pregnancy; make a referral to her obstetrician or health care provider who is managing the pregnancy.

Question 20

Which effect has research shown massage to have on pregnant women?

Accepted Answer

Massage therapy reduced anxiety, improved mood, promoted sleep, decreased back pain and leg pain, and decreased depression in pregnant women. When massage therapy was used during labor, labors were, on average, 3 hours shorter in duration and there was less need for pain medication, women had fewer complications, and their infants had fewer postnatal complications.

Quiz 11: Special Populations: Massage for Pregnant Women, Infants, Children, Adolescents, Tactical Athletes and the Military, the Elderly, People With Visual, Hearing, and Mobi