HLTAMAT001 — Provide antenatal health care

Elements & performance criteria

Performance evidence

• Evidence of the ability to complete tasks outlined in elements and performance criteria of this unit in the context of the job role, and: • for three women pregnant with Aboriginal and/or Torres Strait Islander children: • complete an initial antenatal health assessment and screening tests • develop and document an antenatal care plan • according to their individual needs, provide information and guidance about: • birthing options • healthy lifestyle • care practices for common conditions experienced in pregnancy • social and emotional wellbeing support services available to women and their partners and families • for one of the three women, provide continuity of care by completing: • one antenatal health assessment in trimester two of pregnancy • one antenatal health assessment in trimester three of pregnancy • document, in client records, accurate details of each client contact: • social, medical, and obstetric health history • observations, examinations and tests completed during antenatal assessments • evaluation notes about each client’s antenatal health and social and emotional wellbeing • information and referrals provided to client • from assessments personally completed or from case study assessment documentation, identify signs, symptoms and implications of two different complications of pregnancy that require referral to a medical practitioner.

Knowledge evidence

• Demonstrated knowledge required to complete the tasks outlined in elements and performance criteria of this unit: • organisational policies and procedures for: • documenting antenatal health assessments and care plans • maintaining confidentiality of client information • for antenatal health care: • organisational responsibilities and role boundaries of Aboriginal and/or Torres Strait Islander health practitioners • the roles of other members of the multidisciplinary care team including medical staff, obstetricians, traditional and other midwives, birthing facility staff and female community Elders • how to facilitate referrals • the role of standard treatment protocols in antenatal care: • types that are used by primary health care organisations including Standard Treatment Manuals (STM) and how to access • purpose, format and inclusions • how to use to identify antenatal health assessment and plan requirements • key information collected and recorded in medical histories specific to obstetrics and antenatal health care • formats and typical inclusions of written antenatal care plans • key elements of antenatal health assessments completed at different stages of pregnancy • the importance of screening pregnant women for sexually transmitted infections (STIs), and standard testing procedures, particularly for syphilis • different types of infection control precautions and when these would be used for different types of antenatal examinations and tests • equipment and procedures for antenatal physical examinations and tests • for pregnancy: • signs and symptoms • methods for calculating date of delivery • maternal physiological changes at different stages • types and timing of pathology tests completed, and ‘normal’ range of test values • risks to maternal and foetal health associated with: • prescription medication • alcohol consumption • use of illicit drugs • smoking • consumption of potentially harmful foods • sexually transmitted infections (STIs) • gestational diabetes and risk of developing type 2 diabetes for mother and baby • maternal pre-existing health conditions and diseases, particularly for anaemia, diabetes and rheumatic heart disease • common pregnancy related health conditions including signs, symptoms and overview of treatments, medications, and support services and resources including gestational diabetes • medical complications requiring referral including signs, symptoms and overview of treatments and medications • risks and contraindications associated with treatments and medications used for common and serious pregnancy related conditions • healthy lifestyle during pregnancy: • nutritional needs of pregnant women, food sources of nutrients, and potential impact of poor nutrition on the mother and foetus • exercise recommendations • social and emotional wellbeing needs that can arise during pregnancy for women, their partners and families, and: • care and support services available in the community, state or territory, both general and any designed to specifically assist during pregnancy • how women, their partners and families can access services and the role of health practitioners in facilitating access • for birthing: • signs and stages of labour • pain management methods • environmental requirements for safe birthing • spiritual and cultural considerations of significance to Aboriginal and/or Torres Strait Islander women for their birthing, particularly connections to country, desire to birth on country and roles of family and other community members • advantages and disadvantages of birthing on country and the particular medical risks for women and their babies with pre-existing medical conditions and pregnancy complications • key aspects of ‘Birthing on Country Models’ which can be implemented in birthing facilities away from country • how to use client information systems and recall functions to follow-up clients for ongoing care, monitoring and evaluation.

Foundation skills

• Reading skills: interpret sometimes complex and unfamiliar standard treatment protocols involving medical terminology and abbreviations.
• Writing skills: produce detailed plans using clear language easily understood by both clients and health care team members use fundamental sentence structure, health terminology and abbreviations to complete forms and reports that require factual information.
• Oral communication skills: provide unambiguous information to clients using plain language and terms easily understood ask open and closed probe questions and actively listen to elicit information from clients and determine understanding of information provided.
• Numeracy skills: interpret sometimes complex medical numerical data and abbreviations in standard treatment protocols and client records take and record accurate measurements involving weights, lengths, rates and degrees.
• Technology skills: select and use medical equipment suited to purpose of antenatal physical examinations and tests.

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Questions about assessing HLTAMAT001