https://www.practicebuilders.

com/blog/what-are-your-healthcare-marketing-goals-for-this-year/
Room temp while baby is sleeping

Water birth temp

Sudden death syndrome s baby ano position mag sleep

Associated with alpha thalassemia major

Ano ung mother-centered approach in breastfeeding

Ano ibg sbhin ng effective change in healthcare

Meaning ng transparency in midwifery

Authonomy

Shoulder dystocia ano ggwin

Cpr sequence

Salutogenesis

Fixation error

Epidemiology

Dicrepancy in controlled drug what to do

Phenomenology methodology,

Associated with oligohydramnios (talipes, renal)

When to shift to ob led (diastolic of 90 in 2 consecutive in 30 min interval, protein +1,)

Cardiac cycle( duration of systolic is greater than diastolic, pressure of right heart is greater than
left),

Acute fatty liver s/s

Who introduce bfi (unicef, who, nmc)

NMC Validation

Reflection

How many Formula fed for 8y.old (150-200ml/kg per day, 250-300, the rest mababa na value)

What to do if suspected breech and meconium in home birth settings

Element of situational awareness

Key principle of clinical governance (risk management)

What causes constipation in pregnancy? (oxytocin, progesterone)

Which ethnic group thalassemia is common (native american, Mediterranean, european,african)

S/s of concealed abortion ( abdominal pain and vag bleeding, abdominal pain no vag bleeding,
no abdominal bleeding no vag bleeding)

Importance of advocacy for sexual and reproductive right

What legislation that agree for termination of pregnancy

What legislation that agree to do procedure without informed consent. (Care standard act,
mental capacity act, )

How to document in emergency situation

Which vit is contraindicated in pregnancy

Which vit should be taken upto 12weeks of pregnancy

Monitoring of newborn that has significant meconium during delivery ( monitor on 1 and 2 hour
den q4 for 12 hr;
Monitor upon birth,if stable dc; only when the mother raise concern; monitor 1 and 2hr ,if stable
dc)

1.A midwife undertaking the systematic examination of a male baby at 15 hours old. When
palpating the Brachial and femoral pulses simultaneously, the midwife finds that the femoral
pulse are much weaker
Signs and symptoms that suggest critical or major congenital heart abnormality
These include:

tachypnoea at rest
episodes of apnoea lasting longer than 20 seconds or associated with colour change
intercostal, sub-costal, sternal or supra-sternal recession, nasal flaring
central cyanosis
visible pulsations over the precordium, heaves, thrills
absent or weak femoral pulses
presence of cardiac murmurs or extra heart sounds

2.A midwife has supporter a woman with the birth of the first baby and woman needs to have a
second degree perineal tear m' However as there is only an hour left before the end of the shift,
the midwife decides and ask whenever takes over on the nextshifs to complete the suturing so
that she has time to do the proper work before she goes home

3. A woman admitted for induction of labour says she does not want any interventions. What is
the midwife plan care
If an adult with capacity makes a voluntary and appropriately informed decision to
refuse treatment (whether contemporaneously or in advance), this decision must be
respected, except in certain circumstances as defined by the Mental Health Act 1983
(see chapter 5). This is the case even where this may result in the death of the person
(and/or the death of an unborn child, whatever the stage of the pregnancy).28 Refusal
of treatment by those under the age of 18 is covered in chapter 3.

Where a
patient has the capacity to make decisions about treatment, they have the right
to refuse treatment – even when the consequences of such decisions could lead
to their death. If a doctor feels unable to carry out the wishes of the patient, their
duty is to find another doctor who will do so

4.Which of the following are protected characteristics under UK, equality legislation
Types of discrimination ('protected characteristics')
It is against the law to discriminate against anyone because of:

age
gender reassignment
being married or in a civil partnership
being pregnant or on maternity leave
disability
race including colour, nationality, ethnic or national origin
religion or belief
sex
sexual orientation

5. How elses the midwife assess a neonate for signs of positive attachment
6. During a boring appointment a woman ask for advice on supplement to take in pregnancy.
What sould the midwife advice
7. Why is it necessary to perform modified early obstetric worming score observation

8. What informs best practise

What action does a midwife take when asked to practise beyond their role or experience

During the systematique examinatjon of the male newborn a midwife discovers bilateral
indescended tested. What is the plan care
If the testicles haven't descended by 6 months, they're very unlikely to do so and treatment will
usually be recommended
Treatment will usually involve an operation called an orchidopexy to move the testicles into the
correct position inside the scrotum. This is a relatively straightforward operation with a good
success rate.

Surgery is ideally carried out before 12 months of age. If undescended testicles are treated at
an early age, the risk of fertility problems and testicular cancer can be reduced.

If the testicles move in and out of the scrotum and do not stay ascended, this is known as
retractile testicles.
Retractile testicles in young boys aren't a cause for concern, as the affected testicles often
settle permanently in the scrotum as they get older.
But they may need to be monitored during childhood because they sometimes don't descend
naturally and treatment may be required.

How many pair if chromosomes do human have

A midwifery staff have create a new smart phone application for women and their familly butthe
midwives in the clinic decide not to use or share it a they do not really enjoy working with
technology. Are the midwives making the rigth decision

The midwife becomes aware that one of her colleague is regurlary accepting financial gift from
women in her care. What do you do ?

- the role of the national institution for health and care excellent NICE is to improve in tone for
people using NHS, other public health and social care service. NICE achives its by
The National Institute for Health and Care Excellence (NICE) provides national guidance and
advice to improve health and social care.
NICE is an executive non-departmental public body, sponsored by the Department of Health
and Social Care.
The National Institute for Health and Care Excellence (NICE) is an executive non-departmental
public body of the Department of Health and Social Care in England[1] that publishes guidelines
in four areas:[2]

the use of health technologies within England's National Health Service (NHS) and NHS Wales
(such as the use of new and existing medicines, treatments and procedures)
clinical practice (guidance on the appropriate treatment and care of people with specific
diseases and conditions)
guidance for public sector workers on health promotion and ill-health avoidance
guidance for social care services and users.

- How do midwives contributes to services development

- what is the desired Ph level of a fetal blood sample

What is continuity of carer model in midwifery

The continuity of carer model is a way of delivering maternity care so that women receive
dedicated support from the same midwifery team throughout their pregnancy

- what is the NMC requirement for reflection part of the revalidation process
How many reflective accounts for NMC revalidation?
five written reflective accounts
Requirement. You must have prepared five written reflective accounts in the three year period
since your registration was last renewed or you joined the register.Shaw. 14, 1442 AH

- what is legal age viability of the fetus in the UK

- what is midwife role in coordinating care

Implementing Better Births: Continuity of Carer
In 2016, the National Maternity Review’s report, Better Births, set out a vision for maternity
services across England to become safer and more personalised.

Across England, maternity teams have been working exceptionally hard to implement this vision
by working in new ways, such as continuity of carer [to link to new continuity of carer page] and
implementing safety initiatives such as the Saving Babies’ Lives Care Bundle, to improve care
standards and outcomes for women, babies and their families, and delivering against the
national ambition to halve the number of stillbirths, neonatal and maternal deaths and brain
injuries by 2030.
- what is the name of the parts of the male reproductive system that carries from the epididymes
to the ejaculatory direct
Ductus deferens (vas deferens)
The ductus deferens, or vas deferens, is a fibromuscular tube that is continuation of the
epididymis and is an excretory duct of the testis.
Once sperm cells are produced in the testis and accumulate in the epididymis, they rely on the
ductus (vas) deferens and ejaculatory duct to propel them into the urethra and out of the penis
during ejaculation. The ejaculatory duct delivers sperm into the urethra, adding secretions and
additives from the prostate necessary for sperm function, while providing an interface between
the reproductive and urinary systems in men

A woman is the waiting room is breastfeeding her tooldler and one of the receptionist ask her to
stop as she is upsetting some of the patient waiting to see the General Pratictioner

A midwife has provided care for a number of women during a busy shift. What is the correct
approach to documentation

- ankyloglossia affects up to 10% of the newborn infants. If a midwife is caring for a baby who
has this condition , what referal should be made

A midwife is caring for a women in labour who deaf and communication using a sign language.
How should support the woman.

- A women discloses that she is fearful of a familly member what advice does the midwives give

- what is a potential consequence of poor maternal mutilation

Effects of FGM
There are no health benefits to FGM and it can cause serious harm, including:

constant pain
pain and difficulty having sex
repeated infections, which can lead to infertility
bleeding, cysts and abscesses
problems peeing or holding pee in (incontinence)
depression, flashbacks and self-harm
problems during labour and childbirth, which can be life threatening for mother and baby
Some girls die from blood loss or infection as a direct result of the procedure.

- why is interdisciplinary team working and learning so important

- how does a midwife build rapport with a woman and her familly

- what is the values of continuity of career teams in midwifery.

- which piece of legislation protects women from discrimination when breastfeeding their child
setting.
2010
The Equality Act 2010 legally protects people from discrimination in the workplace and in wider
society.
- why is it important to promote positive attachement between the mother and newborn

- what is professional duty candour

- what is the normal heart rate for newborn

Heart Rate
Your baby's heart rate is also faster than an adults'. In a newborn, a normal heart rate is
between
100 and 160 beats/min.

- what is critical appraisal

Critical appraisal is the process of carefully and systematically assessing the outcome of
scientific research (evidence) to judge its trustworthiness, value and relevance in a particular
context.

- the evidence base is not clear and there are no definition recommandation for a woman care,
how should a midwife respond

- what does audit contribute to

“Clinical audit is a quality improvement process that seeks to improve patient care and
outcomes through
systematic review of care against explicit criteria…Where indicated, changes are
implemented…and further
monitoring is used to confirm improvement in healthcare delivery.”
Principles for Best Practice in Clinical Audit (2002, NICE/CHI)

- A midwife is caring for a woman who has been prescribed everything in tablets for a chest
ingestion. The woman is not able to swallow the tablets and ask the midwife to crush them for
her
A pharmacist can help if you cannot swallow pills
A pharmacist can advise you about:

other versions of your medicine that might be available – for example, you might be able to get it
as a liquid or dissolvable tablet
crushing, dividing or opening up tablets and capsules – this should only be done on their advice

There are many different formats of medication which give options to a patient with difficulties
swallowing, your doctor should discuss these with you to find the most appropriate and
acceptable one for you. Formats include liquid, dispersible, buccal, sublingual, rectal,
transdermal, intranasal or via injection.3 Most commonly available medications are now
available in a liquid form. Liquids may be the most appropriate solution for someone suffering
from swallowing difficulties.4
cbt questions🥰
try to answer to assess yourself if u are ready to take the cbt exam🧐
lagi tatandaan sa situational questions,kung ano gusto ng patient un ang masusunod🧐😎

1. Ph of baby blood 7.25 to 7.35

2. What is public health contributes to reducing the causes of I'll health and improving people's
health and we'll being through health protection (action for clean air, infectious disease control,
protection against environmental health hazards, chemical incidents and emergency response) ;
improving people's health (action to improve health and we'll being and to reduce health
inequalities (ex: by helping people quit smoking or improving their living conditions) ; health
services (ensuring that our health services are the most effective, most efficient and equally
accessible)
3. What is health promotion is the process of enabling people to increase control over, and to to
improve, their health
- Giving people the information or resources they need to improve their health. As well as
improving people's skills and capabilities, it can also involve changing the social and
environment conditions and system that affect health.
4. Sbar situation, background, assessment, recomendation
5. Sssa standard for student supervision and assessment
6. What is antimicrobial stewardship effective use of antimicrobials (including antibiotics) in
children, young people and adults. It aims to change prescribing practice to help slow the
emerge of antimicrobial resistance and ensure that antimicrobials remain an effective treatment
for infection.
7. A client says she wants to stop taking her antibiotics because she doesn’t have any
symptoms again, what should the midwife do
8. Which of the following is the correct management of a shoulder dystocia?
H help
E evaluate for episiotomy
L legs, Mc Robert's position
P Pressure, SUPRAPUBIC constant rocking pressure for 30s, baby's shoulder towards it's chest
E Enter Pelvis, episiotomy, WOODS SCREW MANOUVER (rotate anterior shoulder), ROBIN'S
MANOEUVRE (rotate posterior shoulder) continue pressure and rotate baby by 180°
R REMOVE POSTERIOR ARM hands enters posteriorly along arm, flexes arm and grasps
hand, sweeping the baby's arm across his chest and face to deliver

Other option
Place in four position
Symphysiotomy - fracture clavicle
Zavanelli manoevre - cephalic replacement and delivery by cs
9. A midwife is asked to attend to mother and baby at the psychiatric unit for postnatal care, she
hasn’t been there before what should she do.
10. A client wants only a British midwife to attend to her, what will you do.
11. How do you solve a situation that has become inflamed
12. A woman needs cesarean section because her ctg is pathological, but has refused, what will
you do
13. A woman has twin gestation but wants to deliver at home , what will you do
If you are carrying more than one baby, it is best to give birth in hospital, rather than at home, as
multiple births are higher risk.
14. Which hormone inhibits oxytocin absorption
Oxytocin secretion is suppressed by relaxin

epinephrine and norepinephrine (adrenaline and noradrenaline). They are produced during
stresses like fright, anxiety, hunger or cold and also when you’re excited. You’re likely to get a
high level of these hormones if you don’t feel private, calm, safe and undisturbed and they can
then inhibit oxytocin. Yet in the late-labour stage if you perceive danger or stress, they may
paradoxically stimulate contractions so you give birth more quickly.

beta-endorphins, which may inhibit oxytocin and slow things down.

15. Importance of breastfeeding to the mother

Breastfeeding lowers your risk of:

breast cancer
ovarian cancer
osteoporosis (weak bones)
cardiovascular disease
obesity

16. Side effects of oligohydraminos (cataract, polydactly, developmental displasia of the hips
and another option)
17. Who should a mother with sjogren syndrome see
18. Signs of positive breast attachment Your baby starts feeding with a few rapid sucks followed
by longer sucks.
Their cheeks stay rounded out, not sucked in, and you can hear them swallowing.
Your baby seems calm during feeding and comes off your breast themselves when they've had
enough.
They appear content and satisfied after most feeds.
They should be healthy and gaining weight (although it's normal for babies to lose a little weight
in the first week after birth). Talk to your midwife or health visitor if you're concerned your baby
is not gaining weight and is unsettled during or after breast feeds.
After the first few days, your baby should have at least 6 wet nappies a day.
After about 5 to 6 days, your baby's poo should stop looking black and thick and they should
also have at least 2 soft or runny yellow poos.
19. A woman in early pregnancy wants to test for Down syndrome, what should the midwife do.
You will be offered a screening test for Down's syndrome, Edwards' syndrome and Patau's
syndrome between 10 and 14 weeks of pregnancy. This is to assess your chances of having a
baby with one of these conditions
Combined test
A screening test for Down's syndrome, Edwards' syndrome and Patau's syndrome is available
between weeks 10 and 14 of pregnancy. It's called the combined test because it combines an
ultrasound scan with a blood test. The blood test can be carried out at the same time as the 12-
week scan
20. Woman with reduced fetal movement, what should the midwife do
A change, especially a reduction in movements,may be a warning sign that the baby
is not well and needs checking. You must NOT WAIT until the next day to seek advice
if you are worried about your baby’s movements.

21. 21 day old baby with jaundice and weakness, what should the Midwife tell the woman
22. Newborn baby through forceps delivery with grey patches and capillary refil of 4 seconds,
what should be done
23. 36 weeks baby with weight 2490 what should the midwife do immediately after birth
24. A colleague is facing challenges, what should the midwife do.
25. A trust has change some guidelines based on some research, the midwife’s don’t agree to it
, what should they do
26. Client wants pain relief even though it wasn’t in her birth plan, what should the midwife do
27. A woman declines flu vaccine, what should the midwife do
28. A woman refuses her booking routine labs, what should the midwife do
29. Benefits of breastfeeding to mother
30. Which client should be referred to see the obstetrician (hypertensive)
31. A client refuses to give birth at the hospital, the midwife intends to report her to social
services, is her action right (1. Yes, for the safe being of both mother and baby, 2. Yes the
midwife is autonomous and has the right to do so. 3. No, social service threat should not be
used to coerce women to make a choice)
A baby does not have any rights separate to its mother until it is born. Therefore, even if a
healthcare professional believes the baby may be harmed during birth because of your choices,
this is not a good enough reason on its own to refer you to children’s social services.
32. After a forceps delivery, a midwife is examining a placenta and notices a hole with
membranes running through it, what should she do.
33. A ward manager realizes all the staff on duty that day are newly qualified, what should she
do.
34. A woman writes a letter to a manager concerning one of the midwife. According to her the
midwife was not kind and calm when attending to her, how should the midwife take this.
35. A student is not performing well, as her supervisor, what will you do
36. Why should students performance be accessed
37. 3 main cause of maternal mortality in the Uk (cardiac diseases s, sepsis and embolism)
38. Allergy to penincilin , why drug can you give (co-amoksiclav, erythromycin, clindamycin)
Erythromycin is recommended as the preferred choice for pregnant women where a macrolide
is deemed suitable, if, for example, true penicillin allergy is present.
39. Position for birth
40. Position for newborn resuscitation
41. If a woman refuses vagina examination to determine the progress of labour, what would you
do?a. Refer to Obstetrician.b. Persuade her to allow you do it. C. Respect her wishes and plan
with her for continuation of care
42. A midwife comes up with an idea that could improve quality health care and promote
teamwork, what should she do?a. Escalate to Nmc her idea. b. Discuss with management and
leadership
43. Type consent needed for vaginal examination
44. When should a midwife seek an informed consent
45. When should lo his cease6weeks
46. What should you do when you see a discriminatory practice
47. Fetus viability
48. Why is midwifery a protected practice
Midwifery is a protected function in the UK, meaning it's a criminal offence for any person other
than a registered midwife, or a registered medical practitioner, to attend on a woman in
childbirth (except in emergencies or when in training as a student midwife or medical student).
It's also a criminal offence for someone to falsely represent themselves as being on our register
and use the protected title of ‘Midwife’, or falsely represent themselves as possessing midwifery
qualifications.
49. Qualities of autonomous midwife
In order for a midwife to be autonomous, important attributes include knowledge and skills
(being confident, and the ability to think critically).
50. Which week does Lochia end
51. Time interval for accessing a new baby
52. Qualities of teamwork
53. How to record after an emergency situation
54.A smoke addict tells u she wants to stop smoking, what do u do?
You can use nicotine replacement therapy (NRT) during pregnancy if it will help you stop
smoking and you're unable to stop without it. It's not recommended that you take stop smoking
tablets such as Champix or Zyban during pregnancy.
A. Refer her for a risk assessment test
B. Refer her to a rehab that can help her stop
Prior to vaginal examination what do u do?
A. Handwashing
B. Seek for consent
A baby born via instrumental delivery has grey patches and capillary refill of 4seconds,what did
u do