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Midwifery Knowledge 1 > Readings > Flashcards

Readings Flashcards

1
Q

What do A, B, C refer to in the ACM’s national midwifery guidelines for consultation and referral

A

A- Discuss: the situation with a colleague and/or medical practitioner/healthcare provider

B- Consult: with a medical practitioner or other healthcare provider

C- Refer: to a medical practitioner for secondary/tertiary care

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2
Q

What is a healthy pregnancy BMI

A

18.5- 24.9

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3
Q

What is the recommended weight gain for a healthy pregnancy BMI

A

11.5-16kg

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4
Q

How many boards make up AHPRA

A

14 national boards

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5
Q

Define: Continuity of care

A

means care that usually begins in early pregnancy and continues through to labour and birth, to the end of the 6 week postnatal period

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6
Q

Define: Core midwives

A

are midwives who work in hospitals

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7
Q

Define: Caseload midwifery and Midwifery Caseload practice

A

refer to midwives who provide the majority of care to a women through her pregnancy, labour and birth and the postnatal period

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8
Q

Define: Midwifery Group Practice

A

refers to a group of midwives who work alongside each other with individual caseloads, providing back-up and support for each other

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9
Q

Define: Team Midwifery

A

is where a teams of midwives take on responsibility for an agreed number of women each month

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10
Q

Explain: Biomedical Model

A

focuses on pathological processes, and on understanding, diagnosing, and primarily treating the physical and biological features of disease

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11
Q

Explain: Social Model of Health

A

is a conceptual framework designed to tackle fundamental social, political, environmental and economic grounds for poor health

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12
Q

Define: Reproductive rights

A

nclude pregnancy and childbirth, family planning, abortion services and sexual health services

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13
Q

Explain: the International Confederation of Midwives

A
  • The ICM supports, represents and works to strengthen professional associations of midwives throughout the world.
  • It is an accredited non-governmental organisation and represents midwives and midwifery to organisations worldwide to achieve common goals in the care of mothers and newborns.
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14
Q

What are the recommended servings of the 4 food groups during Pregnancy

A

Veg and Fruit- 5+2
Bread and Cereal- 8.5
Milk/products- 2.5
Meat/seafood/eggs- 3.5

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15
Q

Define: Macronutrients

A

include fats, carbs and proteins which provide the body with energy required for basic life functions and cell processes

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16
Q

Explain the role: Fats

A
  • potent energy source

- insulator and protector of organs

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17
Q

Explain the role: Carbs

A
  • major energy source

- includes glucose, starches and fibre

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18
Q

What macronutrient should account for the majority of energy intake

A

Carbs

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19
Q

Give examples: Macronutrients

A

Fats
Carbs
Proteins

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20
Q

Explain the role: Proteins

A
  • provides energy

- stores for structural components of muscle tissue

21
Q

Define: Micronutrients

A

are vitamins and minerals small in size, but vital to health and optimal functioning of the body during pregnancy

  • they do not produce energy, but they are required in assisting and releasing energy yielded from macronutrients.
22
Q

List the Minerals needed in pregnancy

A

Iron
Calcium
Zinc
Iodine

23
Q

List the Vitamins needed in pregnancy

A

Folate
Vitamin B12
Vitamin D

24
Q

What are the pre-pregnancy BMI’s

A

30 Obese

25
Q

What are the recommendations for Physical activity in pregnancy

A
  • safe

- 30mins of moderate intensity exercise

26
Q

Define: BMI

A

Body mass index

27
Q

Define: EPDS

A

Edinburgh postnatal depression scale

28
Q

What are the Psychosocial factors influencing mental health

A
  • Past mental health issues
  • Past/current abuse
  • Recent life stressors
  • Drug/alcohol use
  • Woman’s relationship with own mother
  • Current practical and emotional support
29
Q

What are 2 alcohol assessment tools

A

TWEAK

T-ACE

30
Q

Define: Validity

A

is the ability of a test to measure what it sets out to measure

31
Q

What is the pattern of antenatal visits in pregnancy

A

Up to 28weeks- 4 weekly
28-36weeks- fortnightly
36- EBD- weekly

32
Q

What are the routine screenings done during pregnancy

A
  • Blood tests (iron, HG, anitbodies)
  • Urine (protein, bacteriuria, glucose)
  • Blood pressure (pre-eclampsia)
33
Q

Define the purpose: The National Midwifery Guidelines for Consultation and Referral

A

are intended to provide information enabling the midwife to integrate evidence with experience (clinical judgment) in providing midwifery care, and to assist midwives in their discussions with women

34
Q

What is the theme of the Midwifery National Competency Standards 11-14

A

Reflective and Ethical Practice

35
Q

Name the Midwifery National Competency Standards 11-14

A

Competency 11- Bases midwifery practice on ethical decision making.
Competency 12- Identifies personal beliefs and develops these in ways that enhance midwifery practice.
Competency 13- Acts to enhance the professional development of self and others
Competency 14- Uses research to inform midwifery practice.

36
Q

How many National Competencies are there for a midwife, that all students must meet before registration

A

14

37
Q

If a woman scores 1,2 or 3 in Q10 of the EPDS this means…

A

she may need to be referred immediately for mental health assessment

38
Q

What are the suggested number of visits for first and subsequent pregnancies

A

First- 10

Subsequent- 8

39
Q

Under law, students must be registered with AHPRA by..

A

their university for the duration of the course

40
Q

Under law, what are students not allowed to be referred to

A

Student Midwife

41
Q

What is the formula for calculating a women’s due date

A

+7 days to LMP

+ 9 Months

42
Q

What is the rule used to calculate a women’s due date

A

Nagel’s Rule

43
Q

Define: Miscarriage

A

a woman loses her baby before 20 weeks gestation

44
Q

If a woman’s fundus is at her umbilicus she is approximately..

A

24 weeks pregnant

45
Q

Research in Australia indicates that the number of women who gave birth at 32 weeks or more had what antenatal care

A

98.4% of non-Indigenous women who gave birth at 32 or more weeks pregnancy had at least one antenatal visit and 92.7% had five or more visits

46
Q

What are the risks to a baby if a woman is consuming alochol

A
  • miscarriage
  • stillbirth
  • FASD (fetal alcohol spectrum disorders)
47
Q

What guidelines are available for you to use as a midwife to ensure women receive appropriate care

A
  • ACM Clinical guidelines for consultation and referral
  • NHMRC Antenatal care Module 1
  • NMBA Competency Standards
48
Q

Define: FASD

A

Fetal alcohol spectrum disorders

  • occurs when mothers consume alcohol in pregnancy

Midwifery Knowledge 1 (11 decks)

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