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MIDW2102 Exam Set with complete solutions 2024_2025.
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MIDW2102 Exam Set with complete solutions 2024_2025.
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MIDW2102 Exam Set with completesolutions 2024/2025
What are the four domains of the NMBA National Competency Standards for the
Midwife?
1. Legal and professional practice
2. Midwifery knowledge and practice
3. Midwifery as primary health care
4. Reflective and ethical practice
What did the M@NGO trial conclude in relation to caseload midwifery for 'low-
risk' vs 'high-risk' women?
Caseload midwifery is safe and cost-effective for women of all risk
Caseload vs standard midwifery care = no differences in primary clinical
outcomes: Cesarean section rates did not differ, proportion of instrumental,
unassisted births, epidural use and neonatal outcomes were similar, total cost
was $567 less for caseload midwifery than standard care
What are some of the main benefits of a midwifery continuity of care model?
- decreased epidural rates
- decreased episiotomy rates
- decrease in instrumental births
- increase in spontaneous vaginal birth
- more likely to be cared for in labour and birth by a known midwife
What were the five most common MEDICAL CONDITIONS reported in Queensland
Mothers in 2015?
1. Depressive disorder (2.9%)
2. Thyroid disorder (2.9%)
3. Asthma (1.9%)
4. Anaemia (1.7%)
,5. Streptococcal infection (1.5%)
What were the five most common PREGNANCY COMPLICATIONS reported in
Queensland Mothers in 2015?
1. Previous uterine scar (18.0%)
2. PROM >4hours but <24 hours (16.2%)
3. GDM (16.2%)
4. Pre-term labour (8.5%)
5. Prolonged Pregnancy (5.4%)
What are the three levels of consultation and referral in the ACM 'National
Midwifery Guidelines for Consultation and Referral'?
A = discuss - colleage, medical practitioner, health care provider
B = consult - medical practitioner or health care provider
C = refer - medical practitioner for secondary or tertiary care
What document should a midwife use as a framework for their practice if a
woman chooses care outside of guidelines?
Appendix A of the ACM 'National Midwifery Guidelines for Consultation and
Referral'
In order to informed consent to be valid what information needs to be shared?
- information about why a treatment of intervention is suggested
, - benefits
- risks
- alternate options
What are the five components of an abdominal palpation?
1. Visual assessment
2. Fundal assessment
3. Lateral assessment
4. Pelvic palpation
5. Auscultation
What might an indication for a vaginal examination (VE) include?
- woman's request
- assessment of cervical dilatation and effacement
- confirmation of presentation, position and descent of baby through pelvis
- to perform ARM or IOL
- application of FSE
- exclude cord prolapse following SROM in fetal malpresentation or high
presenting part
What might an contraindication for a vaginal examination (VE) include?
- woman's consent declined
- potential for introduction of infection
- history of sexual abuse
- disruption to woman's confidence and focus
- presence of other signs that labour is progressing
- active bleeding
- placenta praevia
- suspected pre-term labour
- PROM
How often does NICE (National Institute for Health and Care Excellence)
recommend VE's in labour?
Every 4 hourly in labour, if there is concern about progress or in response to
woman's request.
What can be done to ensure a woman's dignity during a VE?
- cover with a bedsheet
- inform before touching labia
- ask inappropriate personnel to leave environment
- ask partners/ support to sit at bed head
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