What does midwife mean? - With woman.
What are social determinants of health and illness? - The social gradient.
Stress
Early development
Work
Unemployment
Social Support
Social exclusion
Addition
Food
Transport
What is the Primary Health Care approach to...
MIDW127 exam prep Question and
Answers
What does midwife mean? - With woman.
What are social determinants of health and illness? - The social gradient.
Stress
Early development
Work
Unemployment
Social Support
Social exclusion
Addition
Food
Transport
What is the Primary Health Care approach to maternity care? - Childbearing is
a normal physiological process
Childbearing is influenced by culture, economics, family, psychosocial factors and more.
Maternal health is a public health issue.
Care is planned, managed and involves the community.
It is cost-effective, affordable, woman-centered, culturally appropriate and sustainable.
What strategies do midwives use to promote midwifery as a primary health care
initiative? - Education, Collaboration, Advocation, Kindness
Why does midwifery require reflection? - Source of midwifery knowledge.
Self-development and awareness.
Allows you to make sense of experiences.
Facilitates ability to develop strategies for practice improvement.
Allows you to identify what you do well.
Develops critical thinking skills.
Enhances decision making.
Provides fresh insights.
The ANMC expects all professional midwives practice reflectively and ethically.
What types of methods are used to reflect? - Writing
Audio taping
Creative
Talking to a 'critical friend'
Exercise
Meditation
Name types of Reflection. - Technical
,Practical
Emancipatory.
Describe technical reflection. - - useful for change in practice procedures and
routines.
- based on theories of scientific reasoning.
Describe practical reflection. - - Useful for examining the 'lived experience'
- based on interpretative theory (narrative inquiry)
Describe emancipatory reflection. - - useful in situations where power struggles
are present.
- based on critical theory.
Aims to empower people through creating ' transformative action'
Name two models of reflection. - Gibbs
Schlater & Minocha
describe the Gibbs cycle? - Description - What happened?
Feelings - What were you thinking and feeling?
Evaluation - what was good and bad about the experience.
Analysis - what sense can you make of the situation.
Conclusion - what else could you have done.
Action Plan - if it arose, what would you do?
Describe Schlater and Minocha reflective cycle. - Basic Reflection.
Observe.
Notice effects.
Report self awareness.
Identify own position.
Improve.
Deeper Reflection.
Observe - contextualize .
Notice effects - Identify causes.
Report self awareness - relate to practice.
Identify own position - connect to theory.
Improve - Justify changes.
Describe Ethical midwifery practice. - Is safe and effective.
Is respectful and kind to self and others.
values each persons unique individuality, through cultural safety principles.
Is accessible
Upholds the right to a person's self-determination.
Values informed decision making.
Maintains confidentiality.
,Who governs Australian Midwives? - - Health practitioner regulation national
law (1st July 2010)
- The Australian health practitioner regulation agency (AHPRA).
- The nursing & midwifery board of Australia (NMBA)
Name the professional standards documents. - Code of professional conduct
for midwives.
Code of Ethics for Midwives.
Midwifery competency standards.
what are the 3 main principles of professional conduct? - 1. Midwives practice
competently in accordance with legislation, standards and professional practice.
2. Midwives practice with in a woman-centred framework.
3. Midwives practice midwifery reflectively and ethically.
Define the scope of practice for midwives. - - Midwives provide care to healthy
'low risk' women and babies throughout the continuum of childbirth.
- midwives need to to be aware of when the care of a woman and family falls outside
their 'scope of work'.
- ACM guidelines for referral provide guidance on when it is appropriate to consult with
or refer care to another health professional.
- Midwives who work outside their scope of practice can be subject to a notification to
AHPRA for investigation into their practice.
Points of Midwives practice competently in accordance with legislation, standards and
professional practice. - 1. Midwives practise in a safe and competent manner
(primary health care)
2. Midwives practise in accordance with the standrds of the profession and broader
health system.
3. Midwives practise and conduct themselves in accordance with laws relevant to the
profession and practice of midwifery.
4. Midwives respect the dignity, culture, values and beliefs of each woman and her
infant(s) in their care and the woman's partner and family, and of colleagues (primary
health care).
5. Midwives treat personal information obtained in a professional capacity as private
and confidential.
6. Midwives provide impartial, honest and accurate information in relation to midwifery
care and health care products.
Points of Midwives practice with in a woman-centred framework. - 7. midwives
focus on a woman's health needs, her expectations and aspirations, supporting the
informed decision making of each woman. (primary health care and women centred
care)
8. Midwives promote and preserve the trust and privilege inherent in the relationship
between midwives and each woman and her infant/s. (PHC & WCC)
, 9. Midwives maintain and build on the community's trust and confidence in the midwifery
profession. (PHC)
Point of Midwives practice midwifery reflectively and ethically. - Midwives
practice midwifery reflectively and ethically.
When assessing a pregnant woman what do you need to remember? - The
position of the woman.
Comfort of the woman.
Needs of the mother and baby.
Consent required.
What are the aims of Abdominal palpation? - ASSESS fetal growth, size and
well being.
IDENTIFY fetal position and presentation.
REASSURE progress of pregnancy.
DETECT deviations from the norm.
What are indications of abdominal palpation? - To assess fetal growth.
To listen to fetal heart
Prior to vaginal examination (VE) in labour.
To assess progress in labour.
What are contraindications of abdominal palpation? - Placental abruptions
Preterm labour
Lack of consent.
what are the roles and responsibilities of the midwife during assessments of a pregnant
women? - Perform a competent and holistic examination.
Gather accurate and relative information.
Document appropriate findings.
Recognize deviations from normal and initiate alternative care/ referral.
Education and Support - information for the woman.
What environment and resources are required for abdominal palpation? -
Private, safe and comfortable area.
Watch, tape measure, Pinard or Doppler.
what preparation should be taken before initiating an abdominal palpation? - -
Discussion and consent of the assessment.
- warm clean hands.
- ensure woman's bladder is empty
- assisting woman to lay on the bed.
- get woman to lift clothing to expose abdomen and ensure she is comfortable.
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