Midwifery Scope of Practice Questions &
Answers
Estimated due date EDD - ANSWERSLMP + 280 days (40 weeks)
EDD = LMP + 1 year - 3 months + 7 days
EDD = LMP + 9 months + 7 days
Last menstrual period LMP - ANSWERSThe last day of your last menstrual period
Normal pregnancy length - ANSWERS37 weeks - 42 weeks gestation
1st trimester
2nd trimester
3rd trimester - ANSWERSUp to 14 weeks gestation
14 weeks - 28 weeks gestation
28 weeks - birth
Timing frequency of antenatal visits - ANSWERSEvery 4-6 weeks until 28 weeks
gestation
Fortnightly until 36 weeks gestation
Weekly until birth
Fetal movements - ANSWERS-First baby- between 18 to 21 weeks gestation
-Subsequent baby- early as 15 to 16 weeks gestation
-By 22 to 24 weeks gestation most women will be feeling many movements per day,
and will reflect a fairly regular sleep- wake pattern.
-By 28 weeks, metal movements may be regarded as a fairly significant and reliable
marker for baby wellbeing.
When a baby is awake they will usually move at least 10 times in two hours.
Blood testing frequency - ANSWERSInitially- at booking (preferably first trimester)
28 weeks gestation
Between 34 - 36 weeks gestation
Or with any indication for testing outside these times
, Blood group - ANSWERSCan be A, B, O or AB
Initial antenatal blood screening
Subsequent or later antenatal blood screening - ANSWERSBlood group
Rhesus factor
Antibodies
FBC (full blood count)
Hepatitis B
HIV
Rubella
Syphilis
FBC (full blood count)
Antibodies
Common additional investigations
Ferritin (iron stores- to test iron status)
Rhesus factor - ANSWERSimmune system test, for rhesus factor (mainly Rh D). Your
blood group either has or does not have this factor present, so you are either Rh
positive (Rh+) or Rh negative (Rh-). If you are Rh- and your blood mixes with your
baby's blood you can make antibodies which can cause severe anaemia and jaundice in
this or your next baby. Your blood can only mix with the baby if you have an antenatal
bleed, miscarriage or abortion or during birth. An injection of 'anti-D' within 72 hours
after any of these events can prevent your body from making the potentially harmful
antibodies.
Antibodies - ANSWERSYour blood is checked for the presence of any antibodies (part
of your immune system). Certain antibodies can be harmful for your baby, monitoring
and treatment to protect your baby is recommended.
FBC (Full blood count) - ANSWERSThis blood test checks whether your body has
enough iron to manage the extra requirements of pregnancy. If your iron levels are low,
you will filmier tired and will be less ablate manage the loss of blood that occurs during
birth. The full blood count also checks your platelet levels. Platelets help your blood to
clot.
Answers
Estimated due date EDD - ANSWERSLMP + 280 days (40 weeks)
EDD = LMP + 1 year - 3 months + 7 days
EDD = LMP + 9 months + 7 days
Last menstrual period LMP - ANSWERSThe last day of your last menstrual period
Normal pregnancy length - ANSWERS37 weeks - 42 weeks gestation
1st trimester
2nd trimester
3rd trimester - ANSWERSUp to 14 weeks gestation
14 weeks - 28 weeks gestation
28 weeks - birth
Timing frequency of antenatal visits - ANSWERSEvery 4-6 weeks until 28 weeks
gestation
Fortnightly until 36 weeks gestation
Weekly until birth
Fetal movements - ANSWERS-First baby- between 18 to 21 weeks gestation
-Subsequent baby- early as 15 to 16 weeks gestation
-By 22 to 24 weeks gestation most women will be feeling many movements per day,
and will reflect a fairly regular sleep- wake pattern.
-By 28 weeks, metal movements may be regarded as a fairly significant and reliable
marker for baby wellbeing.
When a baby is awake they will usually move at least 10 times in two hours.
Blood testing frequency - ANSWERSInitially- at booking (preferably first trimester)
28 weeks gestation
Between 34 - 36 weeks gestation
Or with any indication for testing outside these times
, Blood group - ANSWERSCan be A, B, O or AB
Initial antenatal blood screening
Subsequent or later antenatal blood screening - ANSWERSBlood group
Rhesus factor
Antibodies
FBC (full blood count)
Hepatitis B
HIV
Rubella
Syphilis
FBC (full blood count)
Antibodies
Common additional investigations
Ferritin (iron stores- to test iron status)
Rhesus factor - ANSWERSimmune system test, for rhesus factor (mainly Rh D). Your
blood group either has or does not have this factor present, so you are either Rh
positive (Rh+) or Rh negative (Rh-). If you are Rh- and your blood mixes with your
baby's blood you can make antibodies which can cause severe anaemia and jaundice in
this or your next baby. Your blood can only mix with the baby if you have an antenatal
bleed, miscarriage or abortion or during birth. An injection of 'anti-D' within 72 hours
after any of these events can prevent your body from making the potentially harmful
antibodies.
Antibodies - ANSWERSYour blood is checked for the presence of any antibodies (part
of your immune system). Certain antibodies can be harmful for your baby, monitoring
and treatment to protect your baby is recommended.
FBC (Full blood count) - ANSWERSThis blood test checks whether your body has
enough iron to manage the extra requirements of pregnancy. If your iron levels are low,
you will filmier tired and will be less ablate manage the loss of blood that occurs during
birth. The full blood count also checks your platelet levels. Platelets help your blood to
clot.
