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Midwifery Knowledge 1 > Readings > Flashcards

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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

25
What are the recommendations for Physical activity in pregnancy
- safe | - 30mins of moderate intensity exercise
26
Define: BMI
Body mass index
27
Define: EPDS
Edinburgh postnatal depression scale
28
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
29
What are 2 alcohol assessment tools
TWEAK | T-ACE
30
Define: Validity
is the ability of a test to measure what it sets out to measure
31
What is the pattern of antenatal visits in pregnancy
Up to 28weeks- 4 weekly 28-36weeks- fortnightly 36- EBD- weekly
32
What are the routine screenings done during pregnancy
- Blood tests (iron, HG, anitbodies) - Urine (protein, bacteriuria, glucose) - Blood pressure (pre-eclampsia)
33
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
34
What is the theme of the Midwifery National Competency Standards 11-14
Reflective and Ethical Practice
35
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.
36
How many National Competencies are there for a midwife, that all students must meet before registration
14
37
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
38
What are the suggested number of visits for first and subsequent pregnancies
First- 10 | Subsequent- 8
39
Under law, students must be registered with AHPRA by..
their university for the duration of the course
40
Under law, what are students not allowed to be referred to
Student Midwife
41
What is the formula for calculating a women's due date
+7 days to LMP | + 9 Months
42
What is the rule used to calculate a women's due date
Nagel's Rule
43
Define: Miscarriage
a woman loses her baby before 20 weeks gestation
44
If a woman's fundus is at her umbilicus she is approximately..
24 weeks pregnant
45
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
46
What are the risks to a baby if a woman is consuming alochol
- miscarriage - stillbirth - FASD (fetal alcohol spectrum disorders)
47
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
48
Define: FASD
Fetal alcohol spectrum disorders - occurs when mothers consume alcohol in pregnancy

Midwifery Knowledge 1 (11 decks)

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