Complete Solutions(rated A)
What is the definition of "code of ethics" in midwifery care? - ANSWER-Moral principles
that guide the action and behavior
What is the definition of "policy" or "protocol" in midwifery care? - ANSWER-A set of
rules for clinical practice
What is the definition of "philosophy" in midwifery care? - ANSWER-beliefs, ideology,
viewpoint
What are the requirements of an informed consent document? - ANSWER-•The
advantages/disadvantages of being attended by a midwife
•The qualifications of the midwife
•The mother's consent to examination and treatment
•A summary of the complications and risks of childbirth
•A definition of common terms used during pregnancy and birth
•Details of emergency equipment used by the midwife
•An agreement to any hospital transfer recommended by the midwife, based on her
professional judgement.
Who should sign an informed consent and when should it be signed? - ANSWER-An
informed consent document should be reviewed and signed by the midwife and mother
at the beginning of their relationship.
What should be the tone of a discussion between the midwife and mother while
discussing the informed consent document? - ANSWER-An informed consent document
should open discussions between the midwife and mother regarding important issues
concerning home childbirth without creating an adversarial or fearful atmosphere. It
should be a springboard for a nurturing, trusting relationship between the midwife and
the mother.
What kind of care do midwives give? - ANSWER-• Continuous care usually from early in
pregnancy through 6 weeks postpartum
•Midwives support natural childbirth, according to the desires of the woman giving birth
Summerize the guidelines and philosophy of the Health Insurance Portability and
Accountability Act (HIPAA) regarding a written privacy policy.
Midwife's responsibility - ANSWER-A midwife must legally:
, •Maintain the privacy of the client's health care information.
•Must provide clients with written notice about privacy policies and practices and the
client's rights regarding personal information.
•May use the client''s information
•for treatment
•payment
•to inform others in the emergency treatment when required by law
•and if there is reasonable suspicion of abuse or neglect.
What are the client's rights according to HIPAA? - ANSWER-•Mother must give consent
for her information to be disclosed to others including family, friends, social media, any
marketing services, or any other purpose.
•She may revoke her consent at any time.
•she has the right to copies of her own health care information and a list of times when
the midwife has disclosed the information for purposes other than treatment or payment.
•She has the right to ask for alternative methods of communication to maintain
confidentiality
•she has the right to ask for the midwife, in writing, to amend her privacy policy.
•She may ask questions at any time about confidentiality practices.
•She has the right to know the methods and means of filing complaints.
What elements of a medical history would preclude a woman from being a candidate for
a home birth? - ANSWER-•pre-existing diabetes
•chronic hypertension
•severe asthma
•epilepsy
•blood clotting disorders
•congenital heart disease
•kidney disease
What pregnancy related conditions preclude a woman from being a candidate for a
home birth? - ANSWER-•Rh negative with positive titer
•severe anemia that does not respond to treatment
•acute viral infection
rubella
cytomegalovirus
toxoplasmosis
chicken pox
herpes
What lifestyle conditions would preclude a woman from being a candidate for a home
birth? - ANSWER-•unresolved sexually transmitted disease
•malnourishment
•drug addition
•alcohol use, moderate to frequent
•smoking