lOMoARcPSD|44532475
Maternal Child
Exam One
Normal lab values
● Platelets: 150,000 - 450,000
● WBC count: 4,500 - 11,000
● Hct (woman): 36% - 48%
● Hbg (woman): 12.1 - 15.2
Module 1: nursing law
Objectives:
● Describe the roles of the professional nurse in the maternal-child
healthcare environment
● Describe the evolution and trends of maternal-child healthcare
● Explain how cultural and social diversity plays a role in maternal-child
healthcare
● Identify legal and ethical considerations related to maternal-child
healthcare
● Compare methods of reproductive planning and contraception
Readings:
● Maternal and Child Health Nursing Chapters 1 & 6
● Our Role:
○ Promotion and maintenance of optimum family health
■ (From the book)
■ Maternal and child health stems from preconception to
menopause
● Scope of practice includes:
○ Preconception healthcare
○ Care during the first 3 trimesters of pregnancy
and puerperium (the six weeks after childbirth -
sometimes to term)
○ Care of infants starting from 20 weeks of
pregnancy to 4 weeks after birth
○ Supervision of children from birth to late
adolescence
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○ Care in hospital and home care settings
● Maternal and child health nursing include:
○ Family-centered
■ the whole family, not just the individual
○ Community-centered care - why did it happen? How did it
happen?
■ Educate guardians that if anything happens, they can take
the child to the closest EMS if the hospital is too far.
■ the health of families is affected by and influences the
community
○ Evidence-based
■ critical knowledge increases
○ Challenging
■ Trying to keep families well and functioning
○ Look at the family as a whole
○ Serving as an advocate protecting the rights of family and fetus
○ Teaching and counseling = major interventions
○ Promote health and disease prevention - vaccinations, etc
○ Resource for families
○ Encourage developmental stimulation through all developmental
stages
○ Respect, personal, cultural, and spiritual beliefs
○ Encourage family bonding and early hospital discharge
○ Assess family strengths and challenges
■ Financial means
■ How to meet them where they're at
○ Encourage the family to use community resources for support
● Different phases of health
○ Health promotion
■ Educating patients when illness is present
■ Vaccines
■ Pap smears
■ Safe sex
○ Health maintenance
■ Intervening to maintain health when there is a risk of
illness
■ Teaching about prenatal care
■ Childproofing homes (i.e., poisoning)
○ Health restoration
■ Begin interventions so health can be restored
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■ Caring for a client with gestational diabetes or a child with
an illness such as pneumonia
○ Health rehabilitation
■ Prevent complications from illness
● Promote a patient who has abnormal placenta
growth to continue therapy
● Evolution and trends
○ Trend:
■ Families not living close together anymore
■ Single-parent families increasing
■ Women are the primary wage earners
● Significant causes of death in childhood - from the book
○ Under one year
■ Accidents
■ Abnormalities
■ Short gestation & low birth weight
■ SIDS
○ 1-4 y/o
■ Accidents
■ Abnormalities
■ Malignant neoplasms (can be cancerous & non-cancerous)
■ Homicide
■ Heart disease
○ 5-9 y/o
■ Accidents
■ Malignant neoplasm
■ Congenital abnormalities
■ Homicide
■ Heart disease
○ 10-14 y/o
■ Accidents
■ Suicide
● More girls than boys attempt; boys are more
successful
● ALWAYS ask if they have had suicidal ideation;
they don’t always voice if they are depressed or
having thoughts.
■ Homicide
■ Malignant neoplasm
■ Abnormalities
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○ 15-24 y/o
■ Accidents
■ Suicide
■ Homicide
■ Malignant neoplasm
■ Heart disease
● Childhood morbidity rate - from the book
○ Respiratory disorders (asthma & TB), GI disturbances, injuries
○ 12-19 y/o
○ School-age obesity can lead to cardiovascular issues, self-esteem
issues, & type 2 diabetes.
○ As a nurse, it is essential to educate children about maintaining a
healthy weight.
■ Immunizations
○ Being morbidly obese in pregnancy can cause complications
during pregnancy and birth.
■ Immunizations
○ Sexually active adolescents have a risk of contracting HIV/STIs
■ Educate adolescents/teenagers on HIV/STIs about safe sex
practices
■ If pregnant and have HIV, there is a possibility the fetus
can acquire it through placental exchange or at birth.
○ Social concerns cause an uprising of intimate partner violence
and child maltreatment.
● Trends in the healthcare environment - from the book
○ Initiating cost containment
■ Reducing the cost of healthcare
■ Delegating responsibilities and teamwork care is more
cost-effective/family-centered.
○ Increasing alternative settings and styles of healthcare
■ Home births or freestanding alternative birth centers
● Patients feel they have more control over their birth
experience, and families can be more involved
● Concerns of infections such as COVID it is predicted
that hospital births might become more popular
● Explain how cultural and social diversity plays a role in
maternal-child healthcare
○ Unique family structure
■ Having children from 12-40 y/o
■ Babies born outside of marriage
Downloaded by madiba South Africa stuvia ()
Maternal Child
Exam One
Normal lab values
● Platelets: 150,000 - 450,000
● WBC count: 4,500 - 11,000
● Hct (woman): 36% - 48%
● Hbg (woman): 12.1 - 15.2
Module 1: nursing law
Objectives:
● Describe the roles of the professional nurse in the maternal-child
healthcare environment
● Describe the evolution and trends of maternal-child healthcare
● Explain how cultural and social diversity plays a role in maternal-child
healthcare
● Identify legal and ethical considerations related to maternal-child
healthcare
● Compare methods of reproductive planning and contraception
Readings:
● Maternal and Child Health Nursing Chapters 1 & 6
● Our Role:
○ Promotion and maintenance of optimum family health
■ (From the book)
■ Maternal and child health stems from preconception to
menopause
● Scope of practice includes:
○ Preconception healthcare
○ Care during the first 3 trimesters of pregnancy
and puerperium (the six weeks after childbirth -
sometimes to term)
○ Care of infants starting from 20 weeks of
pregnancy to 4 weeks after birth
○ Supervision of children from birth to late
adolescence
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
○ Care in hospital and home care settings
● Maternal and child health nursing include:
○ Family-centered
■ the whole family, not just the individual
○ Community-centered care - why did it happen? How did it
happen?
■ Educate guardians that if anything happens, they can take
the child to the closest EMS if the hospital is too far.
■ the health of families is affected by and influences the
community
○ Evidence-based
■ critical knowledge increases
○ Challenging
■ Trying to keep families well and functioning
○ Look at the family as a whole
○ Serving as an advocate protecting the rights of family and fetus
○ Teaching and counseling = major interventions
○ Promote health and disease prevention - vaccinations, etc
○ Resource for families
○ Encourage developmental stimulation through all developmental
stages
○ Respect, personal, cultural, and spiritual beliefs
○ Encourage family bonding and early hospital discharge
○ Assess family strengths and challenges
■ Financial means
■ How to meet them where they're at
○ Encourage the family to use community resources for support
● Different phases of health
○ Health promotion
■ Educating patients when illness is present
■ Vaccines
■ Pap smears
■ Safe sex
○ Health maintenance
■ Intervening to maintain health when there is a risk of
illness
■ Teaching about prenatal care
■ Childproofing homes (i.e., poisoning)
○ Health restoration
■ Begin interventions so health can be restored
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
■ Caring for a client with gestational diabetes or a child with
an illness such as pneumonia
○ Health rehabilitation
■ Prevent complications from illness
● Promote a patient who has abnormal placenta
growth to continue therapy
● Evolution and trends
○ Trend:
■ Families not living close together anymore
■ Single-parent families increasing
■ Women are the primary wage earners
● Significant causes of death in childhood - from the book
○ Under one year
■ Accidents
■ Abnormalities
■ Short gestation & low birth weight
■ SIDS
○ 1-4 y/o
■ Accidents
■ Abnormalities
■ Malignant neoplasms (can be cancerous & non-cancerous)
■ Homicide
■ Heart disease
○ 5-9 y/o
■ Accidents
■ Malignant neoplasm
■ Congenital abnormalities
■ Homicide
■ Heart disease
○ 10-14 y/o
■ Accidents
■ Suicide
● More girls than boys attempt; boys are more
successful
● ALWAYS ask if they have had suicidal ideation;
they don’t always voice if they are depressed or
having thoughts.
■ Homicide
■ Malignant neoplasm
■ Abnormalities
Downloaded by madiba South Africa stuvia ()
, lOMoARcPSD|44532475
○ 15-24 y/o
■ Accidents
■ Suicide
■ Homicide
■ Malignant neoplasm
■ Heart disease
● Childhood morbidity rate - from the book
○ Respiratory disorders (asthma & TB), GI disturbances, injuries
○ 12-19 y/o
○ School-age obesity can lead to cardiovascular issues, self-esteem
issues, & type 2 diabetes.
○ As a nurse, it is essential to educate children about maintaining a
healthy weight.
■ Immunizations
○ Being morbidly obese in pregnancy can cause complications
during pregnancy and birth.
■ Immunizations
○ Sexually active adolescents have a risk of contracting HIV/STIs
■ Educate adolescents/teenagers on HIV/STIs about safe sex
practices
■ If pregnant and have HIV, there is a possibility the fetus
can acquire it through placental exchange or at birth.
○ Social concerns cause an uprising of intimate partner violence
and child maltreatment.
● Trends in the healthcare environment - from the book
○ Initiating cost containment
■ Reducing the cost of healthcare
■ Delegating responsibilities and teamwork care is more
cost-effective/family-centered.
○ Increasing alternative settings and styles of healthcare
■ Home births or freestanding alternative birth centers
● Patients feel they have more control over their birth
experience, and families can be more involved
● Concerns of infections such as COVID it is predicted
that hospital births might become more popular
● Explain how cultural and social diversity plays a role in
maternal-child healthcare
○ Unique family structure
■ Having children from 12-40 y/o
■ Babies born outside of marriage
Downloaded by madiba South Africa stuvia ()
