Professional Issues & Midwifery Ethics Flashcards

Which organization grants the Certified Professional Midwife (CPM) credential in the United States?

Answer: North American Registry of Midwives (NARM)

NARM develops and administers the CPM certification process and examination.

What is the primary role of the Midwifery Education Accreditation Council (MEAC)?

Answer: Accrediting direct-entry midwifery education programs and institutions

MEAC accredits direct-entry midwifery schools and programs and is recognized by the U.S. Department of Education.

A client declines the recommended newborn eye prophylaxis after a full discussion. What is the midwife's most appropriate action?

Answer: Document the informed refusal, including the risks discussed, and follow state reporting requirements

Respecting autonomy requires documenting informed refusal and meeting any legal requirements that apply.

Which ethical principle is most directly honored when a midwife makes sure low-income clients can get the same quality of care as other clients?

Answer: Justice

Justice refers to the fair and equitable distribution of care and resources.

How often must a CPM recertify with NARM?

Answer: Every 3 years

The CPM credential must be renewed every three years by meeting NARM's recertification requirements.

Who determines the legal scope of practice for a CPM in a given state?

Answer: State law and regulations

Scope of practice is defined by state statutes and regulatory boards, and it varies by state.

A midwife tells a client that a planned home birth with a breech presentation carries no added risk. Which ethical principle is violated?

Answer: Veracity

Veracity requires truthful, complete disclosure of the information a client needs to make decisions.