Readings Flashcards
What do A, B, C refer to in the ACM’s national midwifery guidelines for consultation and referral
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
What is a healthy pregnancy BMI
18.5- 24.9
What is the recommended weight gain for a healthy pregnancy BMI
11.5-16kg
How many boards make up AHPRA
14 national boards
Define: Continuity of care
means care that usually begins in early pregnancy and continues through to labour and birth, to the end of the 6 week postnatal period
Define: Core midwives
are midwives who work in hospitals
Define: Caseload midwifery and Midwifery Caseload practice
refer to midwives who provide the majority of care to a women through her pregnancy, labour and birth and the postnatal period
Define: Midwifery Group Practice
refers to a group of midwives who work alongside each other with individual caseloads, providing back-up and support for each other
Define: Team Midwifery
is where a teams of midwives take on responsibility for an agreed number of women each month
Explain: Biomedical Model
focuses on pathological processes, and on understanding, diagnosing, and primarily treating the physical and biological features of disease
Explain: Social Model of Health
is a conceptual framework designed to tackle fundamental social, political, environmental and economic grounds for poor health
Define: Reproductive rights
nclude pregnancy and childbirth, family planning, abortion services and sexual health services
Explain: the International Confederation of Midwives
- 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.
What are the recommended servings of the 4 food groups during Pregnancy
Veg and Fruit- 5+2
Bread and Cereal- 8.5
Milk/products- 2.5
Meat/seafood/eggs- 3.5
Define: Macronutrients
include fats, carbs and proteins which provide the body with energy required for basic life functions and cell processes
Explain the role: Fats
- potent energy source
- insulator and protector of organs
Explain the role: Carbs
- major energy source
- includes glucose, starches and fibre
What macronutrient should account for the majority of energy intake
Carbs
Give examples: Macronutrients
Fats
Carbs
Proteins
Explain the role: Proteins
- provides energy
- stores for structural components of muscle tissue
Define: Micronutrients
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.
List the Minerals needed in pregnancy
Iron
Calcium
Zinc
Iodine
List the Vitamins needed in pregnancy
Folate
Vitamin B12
Vitamin D
What are the pre-pregnancy BMI’s
30 Obese
What are the recommendations for Physical activity in pregnancy
- safe
- 30mins of moderate intensity exercise
Define: BMI
Body mass index
Define: EPDS
Edinburgh postnatal depression scale
What are the Psychosocial factors influencing mental health
- Past mental health issues
- Past/current abuse
- Recent life stressors
- Drug/alcohol use
- Woman’s relationship with own mother
- Current practical and emotional support
What are 2 alcohol assessment tools
TWEAK
T-ACE
Define: Validity
is the ability of a test to measure what it sets out to measure
What is the pattern of antenatal visits in pregnancy
Up to 28weeks- 4 weekly
28-36weeks- fortnightly
36- EBD- weekly
What are the routine screenings done during pregnancy
- Blood tests (iron, HG, anitbodies)
- Urine (protein, bacteriuria, glucose)
- Blood pressure (pre-eclampsia)
Define the purpose: The National Midwifery Guidelines for Consultation and Referral
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
What is the theme of the Midwifery National Competency Standards 11-14
Reflective and Ethical Practice
Name the Midwifery National Competency Standards 11-14
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.
How many National Competencies are there for a midwife, that all students must meet before registration
14
If a woman scores 1,2 or 3 in Q10 of the EPDS this means…
she may need to be referred immediately for mental health assessment
What are the suggested number of visits for first and subsequent pregnancies
First- 10
Subsequent- 8
Under law, students must be registered with AHPRA by..
their university for the duration of the course
Under law, what are students not allowed to be referred to
Student Midwife
What is the formula for calculating a women’s due date
+7 days to LMP
+ 9 Months
What is the rule used to calculate a women’s due date
Nagel’s Rule
Define: Miscarriage
a woman loses her baby before 20 weeks gestation
If a woman’s fundus is at her umbilicus she is approximately..
24 weeks pregnant
Research in Australia indicates that the number of women who gave birth at 32 weeks or more had what antenatal care
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
What are the risks to a baby if a woman is consuming alochol
- miscarriage
- stillbirth
- FASD (fetal alcohol spectrum disorders)
What guidelines are available for you to use as a midwife to ensure women receive appropriate care
- ACM Clinical guidelines for consultation and referral
- NHMRC Antenatal care Module 1
- NMBA Competency Standards
Define: FASD
Fetal alcohol spectrum disorders
- occurs when mothers consume alcohol in pregnancy
