[MDWF 2060: Clinical Testing in the Childbearing Year]

MDWF 2060 Clinical Testing/Childbearing Year, 3 cr. (2 academic credits/1 clinical credit) 

Term Taken: summer 2023

Instructor: Erin Kasper-Frett

PREREQUISITE: MDWF 2010 and must be in a Clinical placement or currently a CPM/RM This course includes the physiological changes of pregnancy, disease conditions relating to pregnancy and the reproductive organs, tests to detect physical conditions (both physiological and pathological), fetal diagnosis, maternal metabolic disorders, and postpartum testing. Case studies will hone the midwives’ understanding of screening and diagnostic tests and appropriate management plans for the scope of the Certified Professional Midwife. 

Learning Objectives:
1. Successfully manage the clinical tests and care of their clients.
2. Explain to a client the various types of tests for which they may choose within your practice and which ones may be referred to a medical practitioner. 3. To recognize risk factors and signs and symptoms that might lead to diagnostic or screening tests.
4. To understand the parameters of genetic testing
5. To understand lab work and ranges of normal.
6. Interpret a urine "dip-stick" test.
7. Interpret a hemoglobin check.
8. Interpret a urinalysis and CBC.
9. To understand the components of the OB Panel (or “Prenatal” or “initial” panel) and what the tests signify.
10. Understand and explain the Direct and Indirect Coombs tests.
11. Understand and explain Antibody ID tests.
12. Explain and interpret glucose tolerance screening and option.
13. Prevent metabolic pre-eclampsia by providing proper nutritional support understand and appropriately use the preeclampsia and HELLP screening tests.
14. Prevent anemia when possible and treat it when not preventable.
15. Explain the physiologic changes of pregnancy, including blood volume expansion.
16. Understand and be able to educate client on the GBS vaginal/rectal culture
17. Understand and, educate your clients on fetal screening (i.e., biophysical profile, 1st and 2nd trimester screen, NST, U/S
18. Recognize a wide variety of diseases which may complicate pregnancy.
19. Recognize and treat jaundice in the newborn
20. Explain the PAP smear test, request and/or perform and interpret selected screening tests including, but not limited to: screening for HIV, STIs, and PAP tests.
21. Interpret laboratory tests used in providing well person care including, but not limited to: CBC, thyroid function tests, urinalysis, chemistry panels
22. Use the microscope to perform simple screening tests including, but not limited to: amniotic fluid ferning, candida, trichomonas, and bacterial vaginosis
23. Learn how to determine fetal well-being during pregnancy including fetal heart rate and activity patterns, amniocentesis and ultrasound technology 

Midwives College Utah (2023-2024) Course Catalog. https://www.midwifery.edu/course-catalog/