Assessment 1 – Online Quizzes x 2
Number of Quizzes – 2. 
To be held - After the first two and the last two modules.
Due dates: 
•    Quiz 1: opens 8 am (AEST) Monday 22nd of April 2024 (week 7). Closes Friday 26th of April at 5 pm AEST
•    Quiz 2: opens 8 am (AEST) Monday 3rd of June 2024 (week 13). Closes Friday 7th of June at 5 pm AEST.

Unit Coordinator: Bridget Ferguson

Aim
The purpose of the online quizzes is to challenge your knowledge and understanding of the concepts that underpin pharmacology and midwifery practice. Each quiz will be available for one (1) week and must be completed by the closing date listed above.

Instructions:
You are completing two (2) online quizzes. Each quiz will assess your knowledge and understanding of the MDWF14002 unit topics.
Topics examined:  
Quiz 1 –Modules 1 & 2 (weeks 1 to 6).
Quiz 2 – Modules 3 & 4 (weeks 7 to 12)

Important Information:
Please access the quiz via the Assessment portal on the Moodle site.
Each quiz is individually worth 20%.
The quiz consists of 20 multiple-choice and drug calculation questions. Each question is worth one (1) mark.
This is not an open-book quiz. You can use a calculator for the drug calculation questions during your attempt.  
You have a maximum of 30 minutes to complete the quiz. 
You must complete the quiz in one sitting. 
Once you start the quiz, you must complete it in 30 minutes. 
The quiz will automatically close at the end of 30 minutes and will submit your result even if you have not finished. 
Students are allowed two attempts. The second attempt will open 60 minutes after the end of the first attempt.
The highest grade you achieve will serve as your final mark for the quiz. 
A cumulative total of 50% across both quizzes is required to pass this assessment.
Without an approved extension, the task cannot be completed after the assigned date. 
Marks will be available when the quiz closes.

NA

Assessment 2 – Case Study 
Due date: week 11 – Friday the 24th of May 2024, 6 PM AEST 
Weighting: 60% 
Length: 2500 words (+/- 10%) 
Unit Coordinator: Bridget Ferguson

Learning Outcomes Assessed 
1)    Demonstrate a sound understanding of pharmacology, pharmacokinetics, and pharmacodynamics related to maternal, placental/fetal, and neonatal physiology for midwifery practice. 
2)    Demonstrate sound mathematical calculation skills to correctly administer and critically evaluate medication orders for women and their infants. 
3)    Critically evaluate the physiological and psychological effects of medication administration on maternal, fetal, or neonatal well-being to determine the effectiveness of treatment. 
4)    Critically appraise the midwife's role in using pharmacological therapies during the childbearing continuum. 
Aim 
This assessment aims to demonstrate your knowledge and understanding of safe medication management in the Australian context across the childbearing continuum. You will understand the midwife's role in providing a woman-centred and multidisciplinary approach to ensuring safe outcomes for the pregnant woman and her baby.  
 
Instructions 
Using a midwifery perspective, you will analyse the case study provided and write an academic paper answering all assessment components. Using this approach, you will demonstrate that you have read up-to-date evidence, including various Australian guidelines and the NMBA (2018) Midwife Standards of Practice, to support safe woman-centred midwifery practice. 
  
Case Study: Jane's Pregnancy and Medication Management 
You are caring for Jane, a 30-year-old woman who is pregnant with her second child. She has a history of mild asthma and usually takes a salbutamol inhaler (short-acting beta-agonist) for symptom relief. At 26 weeks gestation, Jane was diagnosed with gestational diabetes and prescribed insulin therapy. Jane is now 32 weeks gestation and is experiencing a marked exacerbation of her Asthma. She has been prescribed oral Prednisolone, a corticosteroid, daily as a part of her medication regime to manage the Asthma. Jane is concerned about this as she has been experiencing higher than normal blood glucose levels since commencing the Prednisolone. 
Assessment Questions: 
1.    Critically evaluate the implications of gestational diabetes and the rationale behind insulin therapy for the mother and fetus.
2.    Identify the potential risks and benefits of Jane's use of Prednisolone for asthma.
3.    Critically discuss the implications of steroid use in pregnancy, its effects on gestational diabetes and the impacts on the mother, fetus, and neonate. Provide midwifery advice to Jane in preparation for a neonate born to a diabetic mother.
4.    Complete Jane's medication calculations and show your mathematical work.
Drug Calculation One: Insulin Dosage Calculation 
Jane has been prescribed a Mixtard Insulin Flex pen. Jane's weight in kilograms is 70kg. 
1.    Calculate the Total Daily Insulin Dose (TDID) in units using the weight-based formula:
TDID = Weight in kg X 0.3 units/kg/day 
2.    Divide the TDID into basal (bedtime) and bolus (postprandial/three times per day) insulin doses based on the recommended ratio:
-    Basal Insulin: 40% of TDID:
-    Bolus Insulin: 60% of TDID:
3. Determine the amount of insulin administration per dose:
-    Basal Insulin: Administered once daily (e.g., at bedtime). How many units are given at bedtime?
 
-    Bolus Insulin: Administered before each meal (e.g., three times daily). How many units are given at each postprandial administration?  
 
Drug Calculation Two: Salbutamol Inhaler Dosage Calculation 
The prescribed dose of salbutamol metered dose inhaler is 100 mcg/spray. The frequency of administration based on Jane's needs and the prescriber’s instructions is two puffs every 4 hours. 
 
1.    Calculate the total daily dose based on the frequency of administration.  
2.    Convert the total daily dose to milligrams (mg) using the appropriate conversion factors.  
 
Literature and references 
In this assessment, use at least ten contemporary references (<5 years) to support your discussion. You may also use seminal scholarly literature where relevant. Suitable references include peer-reviewed journal articles, textbooks, and credible websites. When sourcing information, consider the five elements of a quality reference: currency, authority, relevance, objectivity, and coverage. Grey literature from the internet must be from reputable websites such as government, university, or peak national bodies, such as the Australian College of Midwifery. 
Requirements  
•    Use a conventional and legible size 12 font, such as Times New Roman or Arial, with double line spacing and 2.54cm page margins (standard pre-set margin in Microsoft Word). 
•    Include page numbers on each page in a footer. 
•    Write in the third-person perspective.  
•    Use formal academic language. 
•    Use the seventh edition American Psychological Association (APA) referencing style. The CQUniversity Academic Learning Centre has an online APA Referencing Style Guide. 
•    The word count is considered from the introduction's first word to the conclusion's last word. The word count excludes the reference list but includes in-text references and direct quotations.
Resources 
•    You can reference your argument using unit-provided materials and other credible sources (e.g., journal articles, books). The quality and credibility of your citations are essential.
•    We recommend that you access your discipline-specific library guide: Nursing and Midwifery Resource Guide.
•    We recommend you use EndNote to manage your citations and reference list. More information on how to use EndNote is available at the CQUniversity Library website.
•    For information on academic communication, please go to the Academic Learning Centre Moodle site. The Academic Communication section has many helpful resources, including information for students with English as a second language.
•    Submit a draft before the due date to review your Turnitin Similarity Score before making a final submission. Instructions are available here.
Submission 
Submit your assessment via the unit Moodle site in Microsoft Word format only. If you need help with submission, please contact the CQU helpdesk at (07) 49309090. 
Support and Contact Details: Unit Coordinator – Bridget Ferguson - Phone number 
(07) 4930 9158 and e-mail b.ferguson@cqu.edu.au
Marking Criteria 
Refer to the marking rubric on the Moodle site for more details on how marks will be assigned.