Midwifery Model of Care Exam
Questions and Answers
Describe the scope of practice of midwives - Answers --Full range of primary health
care services for women
-Primary care, gynecologic and family planning services, preconception care, care
during pregnancy, childbirth and the postpartum period, care of the normal newborn
during the first 28 days of life, and treatment of male partners for sexually transmitted
infections.
-Initial & ongoing assessment, diagnosis, treatment; physical exams, prescribe meds;
admit, manage, and discharge pts; order and interpret labs and dx tests
-Health promotion, disease prevention, and wellness education
What are the 5 disciplinary values of midwifery? - Answers -1) Shared decision making
2)Midwife-woman relationship
3)Recognition of pregnancy and well-woman care, including menopause, as normal
physiologic and developmental processes
4)Promotion of family-centered care
5)Promotion of continuity of care
Describe the concept of independent management in terms of midwifery care - Answers
-ACNM recognizes that midwives are independent practitioners who function within a
complex medical system, which includes collaboration with multiple healthcare
professionals, to ensure the health and safety of women and their newborns
Describe the concept of consultation in terms of midwifery care - Answers -Seeking
advice or opinion of a physician or another member of the healthcare team
Describe the concept of collaboration in terms of midwifery care - Answers -CNM and
physician jointly manage the care of a woman or newborn who has become medically,
gynecologically, or obstetrically complicated
Describe the concept of referral in terms of midwifery care - Answers -CNM directs the
client to a physician or another healthcare professional for management of a particular
problem or aspect of the client's care
What are the challenges of implementation of EBP in midwifery care? - Answers -
Requires midwives to establish individualizes plans for health promotion that are based
on best evidence rather than what they "believe" is best practice
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