Community Midwifery Quiz (January 2012)

Quiz this month written by Noo RM

1. Natasha’s period is 5 days late so she buys a home pregnancy testing kit. What is the name of the hormone this is testing for?
hCG
Human Chorionic Gonadtrophin


2. At 7/40 weeks gestation, Natasha attends her booking appointment with her partner, Jason. During the appointment the midwife requests a urine sample and leaves the room with Natasha to show her the bathroom. Which screening question would this give the midwife opportunity to ask with a view of providing additional support?
Domestic Abuse


3. Natasha returns to the antenatal clinic at 16/40. The midwife informs her that her booking bloods showed she was A Rhesus Negative, No antibodies detected, Rubella immune and negative for the diseases tested for.
What prophylactic treatment would Natasha be offered based on her Rhesus status?
Anti-D
Group & Screen for partner


4. At what gestation do NICE recommend the midwife start to measure SF height?
24/40


5. At 34/40 Natasha attends antenatal classes held by her local hospital. Which topics should be covered during her “labour” class?
Birth Plan
Signs of labour
Early Labour or Latent Phase
1st Stage of Labour
Coping Strategies
Birthing Positions
Pain Management
Fetal Monitoring
Second Stage
Third Stage
Operative/Instrumental Delivery
Suturing



6. Natasha attends her 40/40 appointment with the midwife and is offered a “Stretch & Sweep”.
What is a Stretch and Sweep and why is it performed?
A Stretch & Sweep is performed during a vaginal examination. The midwife inserts her fingers into the vagina, locates the cervix and separates the membranes from the side of the uterus with a sweeping motion with the purpose of initiating labour by releasing prostaglandins


7. Natasha gives birth to a healthy baby girl weighing 3.45kg. The midwife visits Natasha, Jason and baby Arial the morning after they are discharged home.
Name 3 things the midwife may specifically discuss with Natasha at this first visit?
Birth Experience
Care in hospital
Cot Death / Bed Sharing Recommendations
Infant Feeding
Signs of an unwell baby
Signs of infection


8. The midwife visits on day 5 to perform the newborn blood spot test on Arial. What is this testing for?
MCADD
Cystic Fibrosis
Sickle Cell
Thalasemia
PKU
Hyperthyroidism


9. During delivery Natasha sustained a first degree tear that required no suturing. Natasha complains that she feels sore when she goes in the bath. What would the midwife advise Natasha to do with her perineum to ensure it does not get irritated?

Keep clean
Keep dry
Pat dry
Allow air to it
Wear cotton pants
Use no bath products in the water
Simple analgesia – like paracetamol
Be alert for sign of infection


10. How long will the midwife visit Natasha postnatally?
The midwife is technically responsible for the care of mother and baby up to 28 days postnatal. However, most women are discharged to the care of the Health Visitor 10-14 days postnatally.


• During the midwife’s discharge visit – Name 3 things the midwife may discuss.
Contraception
Registering Birth
Registering at GP
Health Visitor taking over care
Cot Death/Bed Sharing recommendations
Baby Clinic
Postnatal Exercises