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Midwifery Written Exam Questions and Answers
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Midwifery Written Exam Questions and Answers
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Midwifery Written Exam Questions andAnswers
Continuity of care - Answers -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 - Answers -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 - Answers -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 - Answers -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 - Answers -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 - Answers -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 - Answers -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
- Answers -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 - Answers -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: - Answers -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
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