HEART AND HANDS MIDWIFERY PREP PART 1 QUESTIONS
AND DETAILED ANSWERS|ALREADY GRADED A
What is the cornerstone of safe, sustainable midwifery practice? Correct
Ans- careful prenatal assesment
When is prenatal care crucial? Correct Ans- During the last six weeks of
pregnancy
What are the components of prenatal care? Correct Ans-
Nutrition\nExercise\nNon-allopathic healing\n herbology\n
homeopathy\nMind body integration\n yoga\n meditation\nTests and
screening\nRoutine Urinalysis\nVitals\nPalpation\n fetal heart
monitoring\n fundal height \n fetal growth
What information should be discussed during the initial phone call?
Correct Ans- Why home birth?\nWhat are you looking for in a
midwife?\nRule out risk\nCurrent health, partner, and pregnancy
history\npersonal philosophy of care and back up plan
What is the most important task of the initial interview? Correct Ans- to
determine compatability
Social insincts Correct Ans- Lead us to make socially recognized
choices
Biological instincts Correct Ans- survival and self realization: deeply
rooted
,When may HIPAA be broken? Correct Ans- 1. If it is believed that the
care provider's life is in danger or someone else's life, safety or property
are in danger\n2. Evidence or suspicion of child, disabled or elderly
person abuse or neglect\n \n3. court order
What are you required to disclose in the initial visit? Correct Ans-
insurance and legal status
What two serious complications should be discussed early in care?
Correct Ans- PP hemorrhage and possible need for resuscitation
(procedure and indications)
What preexisting conditions are contraindicated for home birth? Correct
Ans- Diabetes\nHypertension\nHyperthyroid disorder\nChronic lung
disease\nSevere asthma\nClotting disorder\nEpilepsy\nCongenital heart
disease\nKidney disease\nExtreme obesity
What conditions that may arise during pregnancy are contraindicated for
home birth? Correct Ans- Rh-/ with antibodies\nSevere
anemia\nCancer\nAcute viral infections: Rubella, CMV, Toxoplasmosis,
Chicken pox, Herpes\nor any of the preexisting conditions listed
What lifestyle factors and conditions may be contraindicated for home
birth? Correct Ans- Unresolved STI\nChronic malnutrition\nDrug
addiction\nModerate/Frequent alcohol use\nSmoking
,What abortion method is least traumatic to the uterine lining? Correct
Ans- Suction
What two abortion-related factors may effect placental implantation?
Correct Ans- D&C, post abortion sepsis
What is the rate of uterine rupture for VBAC with low transverse scar
and stimulant induction? Correct Ans- <1%
What labor stimulant is associated with uterine rupture? Correct Ans-
Misoprostol/Cytotec (6% rate)
What are the risks of Cesarean section? Correct Ans- Sepsis\nperforation
of organs\nScarring of the uterine lining\n increased risk of future
abnormal placental implantation\nHemorrhage\nIncreased risk for
adhesions\n3.6X greater chance of death
What factors decrease risk of rupture and increase chances for successful
VBAC? Correct Ans- Double layer suturing\nLow transverse incision
(uterine layer)\nNo other uterine surgeries\nAt least 18 months since
cesarean\nUS of placenta is favorable \nClient lives less than 20 min
from hospital
What therapeutic options may be effective for healing emotional VBAC
scars? Correct Ans- Hypnotherapy\nEye movement desensitization and
reprocessing (EMDR)\nSupport groups and Organizations (ICAN)
, List the main symptom of fibroids Correct Ans- Painless bleeding with
intercourse
What are fibroids? How can they effect pregnancy? Correct Ans-
Fibroids are benign uterine masses. Fibroids experience considerable
growth during pregnancy. If inside the uterus, may cause IUGR by
restricting space, or cause abnormal placental implanation
What is one treatment option for fibroids? Correct Ans- Green tea
How can cervical scarring be softened near term? Correct Ans- Evening
primrose oil massaged into the tissue
List the gynecoligical surgeries that may effect pregnancy Correct Ans-
Cervical cone biopsy\nCervical cauterization or cryosurgery\nLEEP
(correlation w/ incompetent cervix and preterm labor)
Concerns to consider for client with a history of IUD use Correct Ans-
Anemia\nScarring (Predisposes for ectopic pregnancy or irregular
implantation or the placenta, and hemorrhage
PID and IUD use have two similar effects on pregnancy Correct Ans-
Anemia\nUterine scarring
History of hormonal contraception may cause deficiency of what
nutrient? Correct Ans- Folic acid
AND DETAILED ANSWERS|ALREADY GRADED A
What is the cornerstone of safe, sustainable midwifery practice? Correct
Ans- careful prenatal assesment
When is prenatal care crucial? Correct Ans- During the last six weeks of
pregnancy
What are the components of prenatal care? Correct Ans-
Nutrition\nExercise\nNon-allopathic healing\n herbology\n
homeopathy\nMind body integration\n yoga\n meditation\nTests and
screening\nRoutine Urinalysis\nVitals\nPalpation\n fetal heart
monitoring\n fundal height \n fetal growth
What information should be discussed during the initial phone call?
Correct Ans- Why home birth?\nWhat are you looking for in a
midwife?\nRule out risk\nCurrent health, partner, and pregnancy
history\npersonal philosophy of care and back up plan
What is the most important task of the initial interview? Correct Ans- to
determine compatability
Social insincts Correct Ans- Lead us to make socially recognized
choices
Biological instincts Correct Ans- survival and self realization: deeply
rooted
,When may HIPAA be broken? Correct Ans- 1. If it is believed that the
care provider's life is in danger or someone else's life, safety or property
are in danger\n2. Evidence or suspicion of child, disabled or elderly
person abuse or neglect\n \n3. court order
What are you required to disclose in the initial visit? Correct Ans-
insurance and legal status
What two serious complications should be discussed early in care?
Correct Ans- PP hemorrhage and possible need for resuscitation
(procedure and indications)
What preexisting conditions are contraindicated for home birth? Correct
Ans- Diabetes\nHypertension\nHyperthyroid disorder\nChronic lung
disease\nSevere asthma\nClotting disorder\nEpilepsy\nCongenital heart
disease\nKidney disease\nExtreme obesity
What conditions that may arise during pregnancy are contraindicated for
home birth? Correct Ans- Rh-/ with antibodies\nSevere
anemia\nCancer\nAcute viral infections: Rubella, CMV, Toxoplasmosis,
Chicken pox, Herpes\nor any of the preexisting conditions listed
What lifestyle factors and conditions may be contraindicated for home
birth? Correct Ans- Unresolved STI\nChronic malnutrition\nDrug
addiction\nModerate/Frequent alcohol use\nSmoking
,What abortion method is least traumatic to the uterine lining? Correct
Ans- Suction
What two abortion-related factors may effect placental implantation?
Correct Ans- D&C, post abortion sepsis
What is the rate of uterine rupture for VBAC with low transverse scar
and stimulant induction? Correct Ans- <1%
What labor stimulant is associated with uterine rupture? Correct Ans-
Misoprostol/Cytotec (6% rate)
What are the risks of Cesarean section? Correct Ans- Sepsis\nperforation
of organs\nScarring of the uterine lining\n increased risk of future
abnormal placental implantation\nHemorrhage\nIncreased risk for
adhesions\n3.6X greater chance of death
What factors decrease risk of rupture and increase chances for successful
VBAC? Correct Ans- Double layer suturing\nLow transverse incision
(uterine layer)\nNo other uterine surgeries\nAt least 18 months since
cesarean\nUS of placenta is favorable \nClient lives less than 20 min
from hospital
What therapeutic options may be effective for healing emotional VBAC
scars? Correct Ans- Hypnotherapy\nEye movement desensitization and
reprocessing (EMDR)\nSupport groups and Organizations (ICAN)
, List the main symptom of fibroids Correct Ans- Painless bleeding with
intercourse
What are fibroids? How can they effect pregnancy? Correct Ans-
Fibroids are benign uterine masses. Fibroids experience considerable
growth during pregnancy. If inside the uterus, may cause IUGR by
restricting space, or cause abnormal placental implanation
What is one treatment option for fibroids? Correct Ans- Green tea
How can cervical scarring be softened near term? Correct Ans- Evening
primrose oil massaged into the tissue
List the gynecoligical surgeries that may effect pregnancy Correct Ans-
Cervical cone biopsy\nCervical cauterization or cryosurgery\nLEEP
(correlation w/ incompetent cervix and preterm labor)
Concerns to consider for client with a history of IUD use Correct Ans-
Anemia\nScarring (Predisposes for ectopic pregnancy or irregular
implantation or the placenta, and hemorrhage
PID and IUD use have two similar effects on pregnancy Correct Ans-
Anemia\nUterine scarring
History of hormonal contraception may cause deficiency of what
nutrient? Correct Ans- Folic acid
