The 2 areas in which are a major focus of the nursing practice in
promoting health for the next generation.
area of childbearing and childrearing families
True or False: childbearing and childrearing are two separate entities that are NOT interrelated
FALSE: Although
childbearing and childrearing are often viewed as two separate entities, they are
interrelated, and a deeper understanding is achieved when they are viewed as a
continuum
What is the primary goal of both maternal and child health nursing?
PROMOTION AND MAINTENANCE OF OPTIMAL FAMILY HEALTH
Give 5 scopes of practice included in MCN?
•Preconception health care
•Care of women during three trimesters of pregnancy and the puerperium (the 6
weeks after childbirth, sometimes termed the fourth trimester of pregnancy)
• Care of infants during the perinatal period (the time span beginning at 20 weeks
of pregnancy to 4 weeks [28 days] after birth)
• Care of children from birth through LATE adolescent
• Care in a variety of hospital and home care settings
PHL of MCN? Maternal and child health nursing is?
•Family centered
• Community centered
• Evidence based
• A challenging role for nurses and a major factor in keeping families well and
optimally functioning.
Give the target ratio of the global maternal mortality rate that should be reduced by 2030
LESS than 70 per 100K live births
2030 Global Health Goals: end preventable deaths of newborn and children under what age range?
under 5 yrs old
2030 Global Health Goals: ensure universal access to what healthcare service?
Sexual and reproductive
A credential furnished by the American Nurses Credentialing Center
(ANCC), an affiliate of the American Nurses Association, to hospitals that meet a
rigorous set of criteria designed to improve the strength and quality of nursing care.
Magnet status
Identify the category magnet status: This is the ability of nurses in the designated organization to convert their organization’s values, beliefs, and behaviors in
order to create a high professional level of nursing care.
Transformational Leadership
Identify the category magnet status: This refers to the ability to provide an innovative
environment where strong professional practice can flourish with regard to the
hospital’s mission, vision, and values.
Structural empowerment
Identify the category magnet status: The setting demonstrates a comprehensive
understanding of the role of nursing; the application of that role with patients,
families, communities, and the interdisciplinary team is clear, so new knowledge
and evidence can be applied to nursing care.
Exemplary Professional Practice
Identify the category magnet status: The organization demonstrates
strong nursing leadership, empowered professionals, and exemplary practice
while contributing to patient care.
New knowledge, innovation and improvements.
Identify the category magnet status: The hospital demonstrates solid structure and processes
where strong professional practice can flourish and where the mission, vision,
and values come to life as the organization achieves the outcomes believed to be
important for the organization
Empirical quality results
What are the 4 phases of health care?
• Health promotion
• Health maintenance
• Health restoration
• Health rehabilitation
Phase of HC: Educating parents and children
to follow sound health
practices through teaching and
role modeling
Health
promotion
Phase of HC: Intervening to maintain health
when risk of illness is present
Health
maintenance
Phase of HC: Using conscientious assessment
to be certain that symptoms of
illness are identified and
interventions are begun to
return patient to wellness most
rapidly
Health
restoration
Phase of HC: Helping prevent complications
from illness
Health
rehabilitation
Phase of HC: helping a patient
with residual effects achieve
an optimal state of wellness
and independence
Health
rehabilitation
Phase of HC: helping a
patient to accept inevitable
death
Health
rehabilitation
_____________ theory
stresses that an important role of the nurse is to help patients adapt to change caused by
illness or other stressors
Calistra Roy’s theory
________________ theory concentrates on
examining patients’ ability to perform self-care
Dorothea Orem’s
_______________theory describes the way nurses move from novice to expert as they become
more experienced and prepared to give interprofessional care
Patricia
Benner’s
KSA meaning?
knowledge, skills, and attitudes
What is QSEN?
QSEN: QUALITY & SAFETY EDUCATION FOR NURSES
What are the 5 competencies of QSEN?
(a) patient-centered care,
(b) teamwork and collaboration, (
c) quality improvement,
(d) informatics, and
(e) evidence-based practice
is the conscientious, explicit, and judicious use
of current best evidence to make decisions about the care of patient
Evidence-based practice
the systematic investigation of problems that have implications for
nursing practice usually carried out by nurses
Nursing research
A nursing assistant informed the nurse that Mr. Chung asked why the hospital where
his baby is being cared for is termed a “Magnet hospital.” The nurse would want team
members to know which rationale?
B.
The ratio of the num. of TOTAL LIVE BIRTHS / TOTAL POPULATION; Expressed as births per 1,000
Birth Rate
The number of pregnancies per1K biological women of childbearing age
Fertility Rate
Ratio of the number of fetal deaths (over 500g) per 1K live births
Fetal death rate
At what age/range is a baby included/ considered as a fetal death rate
Key word: fetal = fetus
- before birth
- after 20 weeks gestation
The number of deaths / 1k live births
(deaths occurring during birth or after 28 days)
Key word: during birth = new born
Newborn => NEONATAL
NEONATAL DEATH RATE
What range is the perinatal time period?
starts at 20 weeks to 4 to 6 weeks after birth
The sum of fetal and neonatal death rates
Perinatal death rate
The number of maternal deaths per 100,000 live births that
occur as a direct result of the reproductive process.
Maternal mortality rate:
The number of deaths per 1,000 live births occurring at birth or
in the first 12 months of life.
Infant mortality rate
The number of deaths per 1,000 population in children
aged 1 to 14 years.
Childhood mortality rate
INFORMATICS
82
Mrs. Chung’s doctor has told her that her baby’s most dangerous time will be until
the perinatal period ends. When does the perinatal period take place?
C.
Nurses must always be aware of quality improvement because as society changes
with new situations, nursing care must make responding adjustments. Which of the
following is a trend that will influence the care that the Chung family’s new baby is
likely to receive?
a. More and more children are treated in ambulatory, not hospital, settings so
nurses will be less significant in the future.
b. Immunizations are available for all childhood infectious diseases so the
Chungs’ baby will never need treatment for these.
c. The use of multiple technologies can make parents feel overwhelmed unless
they receive nursing support.
d. Prematurely born infants, assuming their mother received prenatal care, rarely
need long-term or follow-up care.
C
term that refers to therapy such as acupuncture,
homeopathy, therapeutic touch, herbalism, and chiropractic care, or nontraditional
sources of care such as tribal medicine
alternative healthcare practices
Name 5 alternative health practices
acupuncture
homeopathy,
therapeutic touch,
herbalism
chiropractic care
a nursing note written today may
need to be defended as many as how many years into the future
21
True or False: “emancipated minors” or “mature minors” and have the
right to sign for their own health care
TRUE
Adolescents who support themselves or who are
pregnant are frequently termed “emancipated minors” or “mature minors” and have the
right to sign for their own health care.
is the birth of a disabled child whose pregnancy the
parents would have chosen to end if they had been informed about the disability during
pregnancy.
WRONGFUL BIRTH
a claim that negligent prenatal testing on the part of a
healthcare provider resulted in the birth of a disabled child
Wrongful life
PATIENT-CENTERED CARE
Melissa Chung is concerned as to how she will give consent for procedures for her
newborn baby because the baby is hospitalized so far away. Which statement would
be best to reassure her?
a. “Informed consent is not needed for newborn care as newborns are underage.”
b. “Newborn care requires parental consent only for procedures that will involve
pain.”
c. “Healthcare providers can omit informed consent if the parent is not present
with the child.”
d. “Consent is required: you can be contacted by telephone or e-mail for long
distance consultation.”