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Flashcards in KCND Deck (35):
1

Name the first seven criteria on the marking grid for Effective Midwifery Practice

•Communication skills
•Diagnosis
•Documentation
•Co-ordination, referral and delegation
•Provision of care
•Clinical skills
•Midwifery Care

2

Name the second six criteria on the marking grid for Effective Midwifery Practice

•Guidelines and policies
•Clinical decision making
•Planning and evaluation of care
•Referral
•Enhancing women's health and community social wellbeing
•Drug administration

3

Name the first six criteria on the marking grid for Quality Through Evaluation and Research

•Knowledge to own practice and practice evaluation
•Evidence base /research
•Evidence of reading
•IT systems / Practice audit
•Gaining feedback from women and their families and appropriately applying this to practice
•Disseminating critically appraised good practice

4

Name the seven criteria on the marking grid for Professional and Ethical Practice

•Respect for individual rights, beliefs and culture
•Confidentiality and Disclosure
•Interprofessional and interagency collaboration
•Manages competing demands
•Safe environment
•Contributes to guidelines
•Identifying unsafe practice and responding appropriately

5

Name the first six criteria on the marking grid for Quality Through Evaluation and Research

•Knowledge to own practice and practice evaluation
•Evidence base /research
•Evidence of reading
•IT systems / Practice audit
•Gaining feedback from women and their families and appropriately applying this to practice
•Disseminating critically appraised good practice

6

What does Rule 5.2 of the NMC's Midwives Rules and Standards (2012) state?

The midwife must make sure the needs of the woman and her baby are the primary focus of practice and the midwife should work in partnership with the woman and her family, to facilitate her physical and emotional care throughout childbirth

7

What are the 4 "P's" of the NMC Code?

•Prioritise people
•Practise effectively
•Preserve safety
•Promote professionalism and trust

8

What is part 3.4 of the NMC Code?

Act as an advocate for the vulnerable, challenging poor practice and discriminatory attitudes and behaviour relating to their care

9

What is part 4.2 of the NMC Code?

Make sure that you get properly informed consent and document it before carrying out any action

10

What is 5.4 of the NMC Code?

Share necessary information with other healthcare professionals and agencies only when the interests of patient safety and public protection override the need for confidentiality

11

What is part 6 of the NMC Code?

Always practise in line with the best available evidence

12

What is part 10 of the NMC code?

Keep clear and accurate records relevant to your practice

13

What is the normal range of fetal heart rate?

110 - 160 bpm

14

What is the normal BP range for women during pregnancy?

Systolic 90 to 140 mmHg
Diastolic 60 to 90 mmHg

15

What is the normal range of maternal heart rate?

60 - 110 bpm

16

What is the normal maternal temperature range?

36.2 - 37.5 degrees C

17

What is the normal range of maternal respiratory rate?

16 - 20 breaths per minute

18

What is the normal temperature range of of the neonate?

36.5 - 37.4 degrees C

19

What is the normal respiratory rate of the neonate?

30 - 50 breaths per minute

20

How many feeds might a newborn breastfed baby have in a day?

8 - 12

21

What are the author names and the date of the cochrane review which states that when women give birth on their backs, there is an increased risk of assisted delivery, episiotomy or tearing but less blood loss?

Authors: Gupta, Hofmeyr and Shehmar
2012

22

What are the author names and the date of the cochrane review which states that immersion in water during the first stage of labour, significantly reduced epidural/spinal analgesia?

Authors: Cluett and Burns
2009

23

What are the author names and the date of the cochrane review which states that hands off versus hands on the perineum has no significant difference in preventing 3rd and 4th degree tears but hands off led to less episiotomies?

Authors: Aasheim, Nilsen, Lukasse and Reinar
2011

24

What two organisations created BFI?

WHO and UNICEF

25

What is the purpose of BFI?

It is designed to support breastfeeding and parent-infant relationships by working with public services to improve standards of care

26

When was BFI established and when was it introduced to the UK?

Established 1992 and introduced to UK in 1995

27

List 3 reasons that La Leche League state on why using a dummy can affect breastfeeding.

- Can inhibit milk supply (supply and demand)
- Confusion between nipple and dummy and sucking technique
- Increased risk of mastitis due to overfilling of breasts

28

What do NHS currently advise about using a dummy to soothe a crying baby?

Only to be used if bottle feeding

29

Which report triggered a widespread hospitalisation of birth?

Peel report 1970

30

What did the Birthplace Cohort Study find in their research on homebirth, which was published in 2011?

Low-risk women who booked a home birth were:
-50% less likely to have a c/s than those who
booked a hospital birth.
- less likely to have a ventouse or forceps delivery
- have a reduced incidence of PPH.
Babies in the planned home birth group were:
- significantly less likely to have low Apgar scores or need resuscitation
- they suffer fewer birth injuries

31

What type of management can be offered instead of an induction for prolonged pregnancy?

Expectant management

32

Which obstetricians (date) and midwife (date) agree that there is very little research about whether meconium is an issue at all?

Unsworth and Vause (2010)
Powell (2013)

33

What two factors contribute to the possibility of meconium aspiration syndrome?

Meconium + an asphyxiated baby

34

What would be the sensible thing to do if a baby has passed meconium?

Create conditions least likely to result in asphyxia and MAS

35

What is common practice for when a baby has passed meconium?

To do things which are known to increase the risk of hypoxia:
- inducing labour
- an ARM
- creating concern or stress for the mother
- directed pushing
- cutting the umbilical cord before it has stopped pulsating