MIDWIFERY IN PRACTICE QUESTIONS AND DETAILED
ANSWERS|ALREADY GRADED A
Maternity options Correct Ans- o Private and public hospitals
o Obstetricians, nurses, midwives, doctors (Obs main carer in AUS)
Midwifery lead options Correct Ans- o Family birthing centre
o Community midwifery program
o Private practicing midwives
Women centred care Correct Ans- A philosophy of maternity care that
gives priority to the wishes and needs of the mother, and emphasises the
importance of informed choice, continuity of care, mother involvement,
clinical effectiveness, responsiveness and accessibility
Focuses on her wants, needs, priorities etc
Influence of the rise of science on midwifery Correct Ans- o Previously,
birth was spiritual and special
o Obstetrics began in the 15th century with the discovery of forceps
turning point which influenced how mainstream healthcare is undertaken
today
o Rise of the male midwife
o Once more doctors became involved, there were more mothers that
died -->Less cleaning of hands and spread of bacteria - Infection
,Impact of continuity of care Correct Ans- o More likely to have a normal
birth, more positive experience, need less pain relief, be satisfied with
maternity care, successfully breastfeed her baby
o Baby more likely to be born at term and be born healthier
Fundamental principals of woman centred care Correct Ans- o Ensuring
women are equal partners in the planning and delivery of their nursing
care
o Giving informed choice
o Giving continuity of care
o Giving women control over key decisions regarding their birth and
care
o Focus on pregnancy as a start of life, not just a single event
o Funding structures and commitments that recognise the lifelong
outcomes of maternal and infant health
o Real relationship between women and midwives
o Family centred care that facilitates the development of confident,
effective parenting
o Strengthened midwifery leaderships
Role of the midwife in antenatal care Correct Ans- o Women centred
care
o Advocate
o Educate
o Support
, o Help make informed decisions
o Clinical skills
Principles of antenatal care Correct Ans- o Safe and scientific
o Woman centred
o Equitable and accessible regardless of background/disability
o Cost effective
o Collaborative
o Every woman is a partner in the decision-making process
Objectives of booking assessment Correct Ans- o Build foundation of
relationship
o Assess health history, offering screening tests
o Form baseline recordings of BP, urinalysis, blood values, uterine
growth, fetal development to use as comparison during pregnancy
o Identify risk factors (History - SMSFAM)
o Discuss any concerns
o Receive health advice
o Make referral if needed
o Pregnancy information
o Estimation of due date (Naegeles rule****)
o Determination of gravida and parity
o Medical and family history
o Physical examination
ANSWERS|ALREADY GRADED A
Maternity options Correct Ans- o Private and public hospitals
o Obstetricians, nurses, midwives, doctors (Obs main carer in AUS)
Midwifery lead options Correct Ans- o Family birthing centre
o Community midwifery program
o Private practicing midwives
Women centred care Correct Ans- A philosophy of maternity care that
gives priority to the wishes and needs of the mother, and emphasises the
importance of informed choice, continuity of care, mother involvement,
clinical effectiveness, responsiveness and accessibility
Focuses on her wants, needs, priorities etc
Influence of the rise of science on midwifery Correct Ans- o Previously,
birth was spiritual and special
o Obstetrics began in the 15th century with the discovery of forceps
turning point which influenced how mainstream healthcare is undertaken
today
o Rise of the male midwife
o Once more doctors became involved, there were more mothers that
died -->Less cleaning of hands and spread of bacteria - Infection
,Impact of continuity of care Correct Ans- o More likely to have a normal
birth, more positive experience, need less pain relief, be satisfied with
maternity care, successfully breastfeed her baby
o Baby more likely to be born at term and be born healthier
Fundamental principals of woman centred care Correct Ans- o Ensuring
women are equal partners in the planning and delivery of their nursing
care
o Giving informed choice
o Giving continuity of care
o Giving women control over key decisions regarding their birth and
care
o Focus on pregnancy as a start of life, not just a single event
o Funding structures and commitments that recognise the lifelong
outcomes of maternal and infant health
o Real relationship between women and midwives
o Family centred care that facilitates the development of confident,
effective parenting
o Strengthened midwifery leaderships
Role of the midwife in antenatal care Correct Ans- o Women centred
care
o Advocate
o Educate
o Support
, o Help make informed decisions
o Clinical skills
Principles of antenatal care Correct Ans- o Safe and scientific
o Woman centred
o Equitable and accessible regardless of background/disability
o Cost effective
o Collaborative
o Every woman is a partner in the decision-making process
Objectives of booking assessment Correct Ans- o Build foundation of
relationship
o Assess health history, offering screening tests
o Form baseline recordings of BP, urinalysis, blood values, uterine
growth, fetal development to use as comparison during pregnancy
o Identify risk factors (History - SMSFAM)
o Discuss any concerns
o Receive health advice
o Make referral if needed
o Pregnancy information
o Estimation of due date (Naegeles rule****)
o Determination of gravida and parity
o Medical and family history
o Physical examination
