Midwifery Written Exam
Continuity of care - Answer- Consistent provision of care to a woman throughout pregnancy, birth and the postnatal period, but not necessarily by the same caregiver.
- GP, shared care, OB-led care
Mid led CoC - Answer- Care where midwife is lead HCP in planning, orga...
Midwifery Written Exam
Continuity of care - Answer- Consistent provision of care to a woman throughout
pregnancy, birth and the postnatal period, but not necessarily by the same caregiver.
- GP, shared care, OB-led care
Mid led CoC - Answer- Care where midwife is lead HCP in planning, organisation
and delivery of care given to a woman, from initial booking appointment through to
postnatal period.
Team Midwifery - Answer- Small number of midwives provide care to a number of
women
- Not 1:1 like caseload
- Women know who is on the team and aim to receive care from same midwife if
rostering permits
- Reduced continuity of care in antenatal period but have known midwife in labour
most of the time
Caseload Midwifery - Answer- Midwife carries caseload and is responsible for the
woman's care during pregnancy, labour, birth and early weeks postpartum.
- Woman has a known midwife and becomes familiar with other midwives in the
same group practice who may be on call for her birth
- Primary caseload = 35-40 women per year as back up midwife for other midwives
in the group (CMP, FBC)
Private Practice Midwife - Answer- Midwife must obtain endorsement and have 3
years experience to gain insurance.
- Unable to work without insurance
- Works autonomously
- Women-centred care supporting choice in place of birth
- Contractual agreement between midwife and mother
Benefits of Mid-led CoC for mother, baby and midwife - Answer- Benefits to mother:
- less likely to have surgical interventions such as episiotomy, forceps and ventouse
extraction
- a reduction in the rate of pre-term births under 37 weeks
- increase in spontaneous vaginal birth.
- More positive experience with labour and birth
- Higher satisfaction
- Successful breastfeeding
- Reduced cost to the healthcare system
Benefits for babies:
- Be born at term
- Be born healthy
Benefits for midwife:
, - Increased autonomy
- Increased flexibility
- Increased job satisfaction
- High rewards
- Ability to build stronger relationships with co-workers that facilitate sharing of ideas,
debrief etc
The essential components of antenatal care - Answer- Risk identification
Prevention and management of pregnancy-related diseases
Health education and promotion
Maintaining physical and social normality for the woman
Monitoring progression of a healthy pregnancy for mother and baby
Preparing a woman for a positive labour and birth
Achieving a positive transition to motherhood
Describe and explain the concept of 'decision points' as a framework for organising
care - Answer- Cues that alert to what is considered appropriate + necessary in
provision of comprehensive antenatal care: - Information-sharing
- Assessment and screening
- Active-decision making
- Education
What is included in routine Blood Screening - Answer- Blood group and rhesus factor
Full/complete blood count
Screening for STIs, hep B, HIV, rubella
Glucose tolerance test
Screening for fetal trisomy in 1st trimester
Why do midwives conduct Blood Pressure Screening: - Answer- Screening tool for
hypertension including 4 variations: Gestational Hypertension (GH)
Pre-eclampsia (PE)
Chronic hypertension (CH)
PE superimposed on CH
Risk factors for hypertension include:- First baby- 40yrs+- Family history- BMI of over
35- Multiple pregnancy- Pre-existing conditions
Abdo palp - Answer- Purpose: a hands on identification and assessment of fetal
presentation, growth and wellbeing
Process: FLAPPER
F: measuring the woman's fundal height, from the top of the uterus to symphysis
pubis) and accurately documenting this in cms. Usually this becomes palpable from
24-26 weeks gestation.
L: the Lie of the baby, assessing where the fetal back is in relation to the maternal
spine (longitudinal, oblique or transverse)
A: the attitude of the presenting part. Fetal head feel flexed, extended or deflexed
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