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Midwifery in Practice Exam Questions and Answers
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Midwifery in Practice Exam Questions and Answers
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Midwifery in Practice Exam Questionsand Answers
Maternity options - Answers -o Private and public hospitals
o Obstetricians, nurses, midwives, doctors (Obs main carer in AUS)
Midwifery lead options - Answers -o Family birthing centre
o Community midwifery program
o Private practicing midwives
Women centred care - Answers -A philosophy of maternity care that gives priority to the
wishes and needs of the mother, and emphasises the importance of informed choice,
continuity of care, mother involvement, clinical effectiveness, responsiveness and
accessibility
Focuses on her wants, needs, priorities etc
Influence of the rise of science on midwifery - Answers -o Previously, birth was spiritual
and special
o Obstetrics began in the 15th century with the discovery of forceps turning point which
influenced how mainstream healthcare is undertaken today
o Rise of the male midwife
o Once more doctors became involved, there were more mothers that died -->Less
cleaning of hands and spread of bacteria - Infection
Impact of continuity of care - Answers -o More likely to have a normal birth, more
positive experience, need less pain relief, be satisfied with maternity care, successfully
breastfeed her baby
o Baby more likely to be born at term and be born healthier
Fundamental principals of woman centred care - Answers -o Ensuring women are equal
partners in the planning and delivery of their nursing care
o Giving informed choice
o Giving continuity of care
o Giving women control over key decisions regarding their birth and care
o Focus on pregnancy as a start of life, not just a single event
o Funding structures and commitments that recognise the lifelong outcomes of maternal
and infant health
o Real relationship between women and midwives
o Family centred care that facilitates the development of confident, effective parenting
o Strengthened midwifery leaderships
, Role of the midwife in antenatal care - Answers -o Women centred care
o Advocate
o Educate
o Support
o Help make informed decisions
o Clinical skills
Principles of antenatal care - Answers -o Safe and scientific
o Woman centred
o Equitable and accessible regardless of background/disability
o Cost effective
o Collaborative
o Every woman is a partner in the decision-making process
Objectives of booking assessment - Answers -o Build foundation of relationship
o Assess health history, offering screening tests
o Form baseline recordings of BP, urinalysis, blood values, uterine growth, fetal
development to use as comparison during pregnancy
o Identify risk factors (History - SMSFAM)
o Discuss any concerns
o Receive health advice
o Make referral if needed
o Pregnancy information
o Estimation of due date (Naegeles rule****)
o Determination of gravida and parity
o Medical and family history
o Physical examination
o Edinburgh depression scale
o Education -> Exercise, sex, supplements
o Genetic screening tests, ultrasound
History taking - Answers -o Demographic
o Psycho-social issues
o Family, surgical and medical history
o Nutrition
o Gynaecological history
o Prev obstetric history
o Current pregnancy
o Drug, smoking, alcohol use
o Domestic violence
Routine screening - Answers -o Blood group and rhesus factor
o Hep B+C
o Rubella
o Syphilis
o HIV
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