MIDWIFERY WRITTEN EXAM QUESTIONS AND DETAILED
ANSWERS|ALREADY GRADED A
Continuity of care Correct Ans- Consistent provision of care to a woman
throughout pregnancy, birth and the postnatal period, but not necessarily
by the same caregiver.
- GP, shared care, OB-led care
Mid led CoC Correct Ans- Care where midwife is lead HCP in planning,
organisation and delivery of care given to a woman, from initial booking
appointment through to postnatal period.
Team Midwifery Correct Ans- Small number of midwives provide care
to a number of women
- Not 1:1 like caseload
- Women know who is on the team and aim to receive care from same
midwife if rostering permits
- Reduced continuity of care in antenatal period but have known
midwife in labour most of the time
Caseload Midwifery Correct Ans- Midwife carries caseload and is
responsible for the woman's care during pregnancy, labour, birth and
early weeks postpartum.
- Woman has a known midwife and becomes familiar with other
midwives in the same group practice who may be on call for her birth
- Primary caseload = 35-40 women per year as back up midwife for
other midwives in the group (CMP, FBC)
,Private Practice Midwife Correct Ans- Midwife must obtain
endorsement and have 3 years experience to gain insurance.
- Unable to work without insurance
- Works autonomously
- Women-centred care supporting choice in place of birth
- Contractual agreement between midwife and mother
Benefits of Mid-led CoC for mother, baby and midwife Correct Ans-
Benefits to mother:
- less likely to have surgical interventions such as episiotomy, forceps
and ventouse extraction
- a reduction in the rate of pre-term births under 37 weeks
- increase in spontaneous vaginal birth.
- More positive experience with labour and birth
- Higher satisfaction
- Successful breastfeeding
- Reduced cost to the healthcare system
Benefits for babies:
- Be born at term
- Be born healthy
Benefits for midwife:
, - Increased autonomy
- Increased flexibility
- Increased job satisfaction
- High rewards
- Ability to build stronger relationships with co-workers that facilitate
sharing of ideas, debrief etc
The essential components of antenatal care Correct Ans- Risk
identification
Prevention and management of pregnancy-related diseases
Health education and promotion
Maintaining physical and social normality for the woman
Monitoring progression of a healthy pregnancy for mother and baby
Preparing a woman for a positive labour and birth
Achieving a positive transition to motherhood
Describe and explain the concept of 'decision points' as a framework for
organising care Correct Ans- Cues that alert to what is considered
appropriate + necessary in provision of comprehensive antenatal care: -
Information-sharing
- Assessment and screening
- Active-decision making
- Education
ANSWERS|ALREADY GRADED A
Continuity of care Correct Ans- Consistent provision of care to a woman
throughout pregnancy, birth and the postnatal period, but not necessarily
by the same caregiver.
- GP, shared care, OB-led care
Mid led CoC Correct Ans- Care where midwife is lead HCP in planning,
organisation and delivery of care given to a woman, from initial booking
appointment through to postnatal period.
Team Midwifery Correct Ans- Small number of midwives provide care
to a number of women
- Not 1:1 like caseload
- Women know who is on the team and aim to receive care from same
midwife if rostering permits
- Reduced continuity of care in antenatal period but have known
midwife in labour most of the time
Caseload Midwifery Correct Ans- Midwife carries caseload and is
responsible for the woman's care during pregnancy, labour, birth and
early weeks postpartum.
- Woman has a known midwife and becomes familiar with other
midwives in the same group practice who may be on call for her birth
- Primary caseload = 35-40 women per year as back up midwife for
other midwives in the group (CMP, FBC)
,Private Practice Midwife Correct Ans- Midwife must obtain
endorsement and have 3 years experience to gain insurance.
- Unable to work without insurance
- Works autonomously
- Women-centred care supporting choice in place of birth
- Contractual agreement between midwife and mother
Benefits of Mid-led CoC for mother, baby and midwife Correct Ans-
Benefits to mother:
- less likely to have surgical interventions such as episiotomy, forceps
and ventouse extraction
- a reduction in the rate of pre-term births under 37 weeks
- increase in spontaneous vaginal birth.
- More positive experience with labour and birth
- Higher satisfaction
- Successful breastfeeding
- Reduced cost to the healthcare system
Benefits for babies:
- Be born at term
- Be born healthy
Benefits for midwife:
, - Increased autonomy
- Increased flexibility
- Increased job satisfaction
- High rewards
- Ability to build stronger relationships with co-workers that facilitate
sharing of ideas, debrief etc
The essential components of antenatal care Correct Ans- Risk
identification
Prevention and management of pregnancy-related diseases
Health education and promotion
Maintaining physical and social normality for the woman
Monitoring progression of a healthy pregnancy for mother and baby
Preparing a woman for a positive labour and birth
Achieving a positive transition to motherhood
Describe and explain the concept of 'decision points' as a framework for
organising care Correct Ans- Cues that alert to what is considered
appropriate + necessary in provision of comprehensive antenatal care: -
Information-sharing
- Assessment and screening
- Active-decision making
- Education
