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DOH Midwifery (DOH-Midwifery) Practice Tests & Test Prep by Exam Edge - Review


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DOH Midwifery - Reviews


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Based on 160 reviews

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See why our users from 154 countries love us for their exam prep! Including 160 reviews for the DOH Midwifery exam.

Exam Edge is an industry leader in online test prep. We work with institutional partners to offer a wide array of practice tests that will help you prepare for your big exam. No matter how niche your field of interest might be, we're here to help you prepare for test day.

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DOH Midwifery - Test Reviews Sample Questions

The intentional failure to perform a professional duty in reckless disregard of the consequences is which of the following?

Correct Answer:
gross negligence


gross negligence refers to a severe form of carelessness that demonstrates a clear disregard for the safety and well-being of others. it goes beyond simple negligence, which is merely the failure to exercise reasonable care. in the context of professional duties, gross negligence is not only a lack of attention or carelessness but a willful disregard of the obligation to act responsibly. this kind of negligence shows a conscious indifference to the consequences that one's actions may have on others.

in legal terms, gross negligence is significant because it represents behavior that is more serious than standard negligence. while standard negligence might involve a momentary lapse in judgement or an unintentional oversight, gross negligence implies a deliberate failure to act as any reasonable person would under similar circumstances. it is marked by actions that a person knows, or should know, pose a substantial risk to others but chooses to ignore that risk.

the implications of gross negligence in professional settings can be very serious. professionals, such as doctors, lawyers, engineers, and others, are expected to perform their duties with a high level of expertise and care. when they fail to meet these standards in a way that suggests reckless disregard, it can lead to significant harm or danger to clients, patients, or the public. this is why gross negligence can often lead to malpractice suits where the professional is held legally accountable for damages resulting from their actions.

it is crucial to differentiate between gross negligence and other related concepts such as malpractice and simple negligence. malpractice refers specifically to misconduct or unreasonable lack of skill in professional duties, leading to damage or injury to the patient or client. while malpractice might be based on negligence, it specifically applies to professional contexts and requires a failure to meet the standards of the profession.

in summary, gross negligence is the intentional failure to perform a duty in reckless disregard of the consequences, representing an extreme deviation from the care a reasonable person would exercise in similar circumstances. it is a serious breach of professional conduct and can have significant legal implications.

If a woman request the use of combination oral contraception (COC), which of the following interventions should the midwife do?
 

Correct Answer:
all of the above
when a woman requests the use of combination oral contraception (coc), it is crucial for the midwife to perform a comprehensive health history assessment. this assessment should include detailed inquiries into the woman's family health history, medical health history, and reproductive health history. each of these components plays a significant role in determining the suitability and safety of coc for the individual.

**family health history:** the family health history is essential because it helps to identify any hereditary conditions that might influence the choice or safety of using coc. for example, a history of thromboembolic disorders (such as deep vein thrombosis or pulmonary embolism) in close family members might contraindicate the use of certain hormonal contraceptives due to the increased risk of similar events in the patient.

**medical health history:** the medical health history includes an examination of past and current health issues that could affect or contraindicate the use of coc. this includes chronic diseases such as hypertension, diabetes, and heart disease, as well as any history of cancer, particularly hormone-sensitive cancers like breast cancer. the midwife must also assess for conditions such as migraines with aura, as certain oral contraceptives can exacerbate these conditions or increase the risk of stroke.

**reproductive health history:** this aspect of the health history focuses on the woman's menstrual cycles, any history of pregnancies, childbirth, abortions, or any gynecological conditions such as endometriosis or polycystic ovary syndrome (pcos). the reproductive history can influence the type of coc prescribed, as some formulations may be more beneficial for managing specific reproductive health issues.

**all of the above:** given the interconnectedness of family, medical, and reproductive health histories, the most comprehensive and safe approach is to consider all these aspects before prescribing coc. this holistic assessment ensures that the contraceptive method chosen aligns well with the woman's overall health profile, reducing potential risks and enhancing efficacy.

in summary, when a woman requests cocs, the midwife's response should be to conduct a thorough assessment covering all relevant aspects of her health history. this ensures the identification of any risk factors that might contraindicate the use of cocs or necessitate the choice of a specific type of contraceptive to best meet her health needs and lifestyle.