Quiz 15: Regionalised Perinatal Care Flashcards
What is regionalised perinatal care?
All perinatal care in a town is provided in a single hospital.
All patients living in a community are delivered at the same clinic.
All perinatal care in a region is provided by a clearly defined health system.
The community must provide the money needed to run the clinics in that region.
All perinatal care in a region is provided by a clearly defined health system.
What percentage of patients can usually be classified as low risk?
10%
20%
35%
60%
35%
Most low-risk pregnant women should be:
Delivered in hospital
Delivered in a perinatal-care clinic
Delivered by a doctor
Delivered at home
Delivered in a perinatal-care clinic
A regional hospital which provides tertiary (specialist) care is also referred to as a:
Level 4 hospital
Level 3 hospital
Level 2 hospital
Level 1 hospital
Level 3 hospital
How can a regional hospital assist the district hospital in that region?
By instructing the clinic to refer all patients with clinical problems directly to the regional hospital
By encouraging district hospitals to provide specialist care
By insisting that the district hospital care for all their own patients with clinical problems and, thereby, make the district hospital independent
By providing educational programmes for the staff in district hospitals
back
By providing educational programmes for the staff in district hospitals
A district hospital can assist the perinatal-care clinic in that area by:
Sending doctors to care for the patients at the clinic
Providing the clinic staff with advice when asked
Reporting to the hospital superintendent any management errors made at a clinic
Offering to deliver 50% of their low-risk patients back
Providing the clinic staff with advice when asked
How can the staff at a perinatal-care clinic improve communications with the referral hospital?
By writing good notes
By drawing up their own list of referral criteria
By making their own transport arrangements
By demanding that doctors from the district hospital assist with the antenatal-care clinics
By writing good notes
A perinatal-care clinic is:
A clinic which provides antenatal care only
A clinic which provides both antenatal and postnatal care
A clinic which provides care during delivery as well as during the antenatal period and the puerperium
A clinic which provides care to women before, during, and after delivery, as well as to the infant during the first year of life
A clinic which provides care during delivery as well as during the antenatal period and the puerperium
The midwife at a perinatal-care clinic should:
Only deliver patients if a doctor is present
Function as an independent nurse-practitioner (i.e. be responsible for all the clinical care given)
Only provide antenatal care
Should not communicate with traditional healers
Function as an independent nurse-practitioner (i.e. be responsible for all the clinical care given)
A perinatal-care clinic should:
Always be close to a district hospital.
Be separate from a centre which provides primary healthcare.
Be acceptable to the local community.
Only be available in rural areas.
Be acceptable to the local community.
What is the role of the community in the management of a perinatal clinic?
The community should appoint the staff at the clinic.
The community should have no role in the management of the clinic.
The community should become involved with the running of the clinic.
The midwives should all come from the local community.
The community should become involved with the running of the clinic.
It is safer to deliver a patient at a perinatal-care clinic than at home because:
A doctor is always available at the clinic.
The clinic has the staff and facilities to manage most clinical problems.
Infection is commoner after a home delivery.
Postpartum haemorrhage cannot be prevented at a home delivery.
The clinic has the staff and facilities to manage most clinical problems.
The referral criteria for each clinic:
Should be decided by the clinic staff and the community
Should be decided by the hospital staff
Should be decided by the doctor in charge
Should be decided by the senior medical and nursing staff at both the clinic and hospital
Should be decided by the senior medical and nursing staff at both the clinic and hospital
When clinic staff speak to a patient they should:
Not allow the patient to ask questions
Give her a detailed report on any clinical problem which has developed
Use simple language
Call her ‘Mommy’ as this shows that they are interested in her pregnancy
Use simple language
Patient notes at a perinatal-care clinic should:
Be kept by the clinic
Be written in the patient’s folder
Be recorded in a maternity case record which the patient keeps
Be written in detail both in the clinic folder and on the patient’s maternity case record.
Be recorded in a maternity case record which the patient keeps
